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Admin Clerical
Career Insights for Medical Claims Processor / Representative
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Scorecard
Based on Florida data
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What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$41,153 / year median in Florida
-3% projected decline
Job Description
Admin Clerical Integrated Home Care Acquisition - 2.6 Miramar, FL Job Details 1 hour ago Benefits Paid training Wellness program Health insurance Dental insurance Paid time off Vision insurance Life insurance Qualifications Filing Client file management Mail distribution Scanning Health insurance knowledge Mail management Policy verification in claims processing Document imaging Medical claims submission Filing patient billing claims Mail processing Entry level Full Job Description Who we are: IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients - 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1 Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services. We currently serve over 2 million lives throughout the nation and the Commonwealth of Puerto Rico. Join our team as we strive for excellence through teamwork delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care. Offering a competitive compensation package, including but not limited to; Medical, Vision, Dental, Short- and Long-term insurance 6+ Days of Holidays Pay 12+ days of PTO Employer paid life insurance 401K with employer contribution Wellness program with reward incentives Employee recognition and reward programs Comprehensive paid training program What will you be doing: Prints Health Plan claims and supporting documentation from Brightree and MedTrac. Including "on-hold" claims. Verifies claim accuracy on all required fields. Verifies all supporting documentation (invoice, LOA, POD, etc.) matches the items billed on claim. Scans claim and supporting documentation into a designated shared file. Mailes out claim and supporting documentation to appropriate health plan. Sort and distribute department mail daily. Additional projects. Join our team as we strive for excellence through teamwork, where our patients are #1! IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. #IND Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.