Bilingual Claims Examiner

Healthcare Support Staffing; Troy (MI); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Competitive salary

Acquire new skills

Fun and positive work environment

Job summary

A national healthcare recruiting firm is looking for an experienced Claims Representative to join their rapidly growing team in Troy, Michigan. This position involves resolving claims-related requests, researching guidelines, and proactively identifying provider issues. The ideal candidate must be bilingual in Spanish and have experience in claims, appeals, and denials. This role offers a competitive salary and a positive work environment, presenting a great opportunity for career advancement.

Qualifications

• Experience resolving Provider Reconsideration Requests related to claims payment.
• Ability to research claims processing guidelines and provider contracts.
• Proactive problem identification through data analysis.

Responsibilities

• Resolve Provider Reconsideration Requests from providers relating to claims.
• Research claims processing guidelines and fee schedules.
• Identify potential provider problems through data analysis.

Skills

Bilingual in Spanish

Claims experience

Knowledge of Appeals and Denials

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Are you an experienced Claims Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes