Claims Analyst III

Integrated Resources INC; Florida; On-site; USD 50,000 - 70,000; Full time

Job summary

A staffing firm in the United States is seeking a Claims Analyst III to handle claim provider complaints and review processed claims. The ideal candidate will have 1-2 years of experience in claims processing and strong knowledge of billing guidelines, as well as proficiency in Microsoft Excel. This role is based in Doral, Florida and offers an opportunity to contribute to quality talent delivery in the healthcare domain.

Qualifications

• A minimum of 1-2 years' experience in claims processing with professionals or hospitals.

Responsibilities

• This department handles claim provider complaints.
• Review of claims that have already been processed by the system.
• Identifying root causes and providing feedback to providers.

Skills

Claims background

Knowledge of billing guidelines

Knowledge of contract interpretation

Knowledge of billing/coding - CPT & ICD-10

Tools

Microsoft Excel

Job description

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-state's 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 Description

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 is required.

Requirements

• Claims background
• Knowledge of billing guidelines
• Knowledge of contract interpretation
• Knowledge of billing/coding - CPT & ICD-10

We are an equal opportunities employer and welcome applications from all qualified candidates.