Claims Analyst III: Root-Cause & Excel Specialist

Integrated Resources INC; Florida; Sur place; USD 50 000 - 70 000; Plein temps

Résumé du poste

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.

Responsabilités

• 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.

Connaissances

Claims background

Knowledge of billing guidelines

Knowledge of contract interpretation

Knowledge of billing/coding - CPT & ICD-10

Outils

Microsoft Excel

Description du poste

IntegratedResources, Inc is a premier staffing firm recognized as one of the tri-statesmost well-respected professional specialty firms. IRI has built its reputationon excellent service and integrity since its inception in 1996. Our missioncenters on delivering only the best quality talent, the first time and everytime. We provide quality resources in four specialty areas: InformationTechnology (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*

Must Haves:

Claims background

Knowledge of billing guidelines

Knowledge of contract interpretation

Knowledge of billing/coding - CPT & ICD-10

Additional Information

Kind Regards,

Arnab Ghatak

Technical Recruiter

Integrated Resources , Inc.

Gold Seal JCAHO Certified ™ for Health Care Staffing

“INC 5 0 0 0 ’s FASTEST GROWING, PRIVATELY HELD COMPANIES” (8th Year in a Row)

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