Claims Analyst III
integrated resourcesMiami, FL
Claims Analyst III
L5
integrated resourcesMiami, FL8 days ago
Occupations
Claims Adjusters, Examiners, and InvestigatorsInsurance Claims and Policy Processing ClerksBilling and Posting ClerksIndustries
Claims AdjustingPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAll Other Insurance Related ActivitiesClaims Analyst IIIIntegratedResources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.
Job Title: Claims Analyst III
Duration: 3 Months
Location: Doral, Florida
Qualifications
Responsibilities:
- This department handles claim provider complaints.
- Review of claims that have already been processed by the system.
- The suppliers are complaining about issues with the previously processed claims.
- Will be identifying root causes, necessary correction of root causes and provide feedback to providers.
- Will be utilizing Microsoft Excel heavily.*A minimum of 1-2 years' experience in claims processing with professionals or hospitals *Top 3 skills:
- Computer skills - Microsoft Excel (intermediate to advanced skills, i.e.: pivot tables, v-look ups)
- Attention to detail
- Strong written communication skills
Must Haves:
- Claims background
- Knowledge of billing guidelines
- Knowledge of contract interpretation
- Knowledge of billing/coding - CPT & ICD-10
Apply now
Level
SeniorL5
Location
Miami, FL
Occupation
Claims Adjusters, Examiners, and Investigators
Industry
Claims Adjusting
Posted
8 days ago
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