Claims Specialist Position Available In Miami-Dade, Florida

Claims Specialist Leeds Professional Resources – 3.0 Doral, FL Job Details Temporary | Full-time | Contract $21 – $23 an hour 21 hours ago Qualifications Insurance claim adjustments processing Medicare Handling insurance claims Multitasking Medical coding Insurance claim appeals processing Financial software Mid-level ICD-10 Insurance medical billing Attention to detail Medical billing Processing insurance claims Organizational skills High-value insurance claims processing Medical Billing & Coding Medical terminology Communication skills New insurance claim processing DRG Full Job Description Overview We are seeking a detail-oriented and organized Claims Specialist to join our dynamic team. The ideal candidate will play a crucial role in managing and processing claims efficiently while ensuring compliance with relevant regulations. This position requires a strong understanding of medical billing, coding, and terminology, particularly within the Medicare system. The Claims Specialist will work collaboratively with healthcare providers and insurance companies to resolve claims issues and ensure accurate reimbursement. Duties Review and process claims for accuracy and completeness, ensuring adherence to Medicare guidelines. Utilize knowledge of DRG (Diagnosis-Related Group) and ICD-10 coding to assess claims. Maintain organized files for all claims submitted, tracking the status of each claim throughout the process. Communicate effectively with healthcare providers, patients, and insurance companies to resolve discrepancies or issues related to claims. Perform clerical tasks related to claims processing, including data entry and documentation management. Stay updated on changes in medical billing regulations and coding practices to ensure compliance. Utilize financial software for tracking claims and generating reports as needed. Requirements Strong organizational skills with the ability to manage multiple tasks simultaneously. Proficient knowledge of Medicare processes, medical billing, coding (ICD-10), and medical terminology. Experience with DRG coding preferred. Familiarity with financial software used in claims processing is a plus. Excellent communication skills, both written and verbal, to effectively interact with various stakeholders. Attention to detail is essential for accurate claim processing and documentation. Ability to work independently as well as part of a team in a fast-paced environment. We encourage candidates who meet these qualifications to apply for the Claims Specialist position. Join us in making a difference in the healthcare industry!

Job Types:

Full-time, Contract, Temporary Pay:

$21.00 – $23.00 per hour Expected hours: 40 per week

Schedule:

8 hour shift Monday to Friday Weekends as needed

Work Location:

In person