Claims Communications Specialist

Florida Community Care, LLC.; Miami (FL); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Independent Living Systems is seeking a Claims Correspondence Coordinator to join our Miami team. You will manage and streamline healthcare claim communications across providers, clients and departments, ensuring accuracy, regulatory compliance, and timely resolution of disputes and appeals.

The role requires 2+ years in claims processing or healthcare administration, proficiency with Microsoft Office and claims management systems, and familiarity with UB04 and CMS 1500 forms.

Qualifications

• 2+ years experience in claims processing, health care administration, or a related field.
• Experience with UB04 and CMS 1500 claims.
• Proficiency with Microsoft Office Suite and claims management systems.

Responsibilities

• Coordinate incoming and outgoing correspondence related to healthcare claims across multiple channels.
• Verify claim information for accuracy and route it to support timely processing.
• Respond to inquiries from providers and insurers regarding claim status and documentation.
• Maintain organized records of all correspondence for compliance and audit readiness.
• Collaborate with internal teams to resolve discrepancies, disputes and appeals and improve workflows.

Skills

Multitasking

Communication skills

Regulatory compliance

Education

Bachelor's degree in Health Administration or related

Tools

Microsoft Office Suite

Claims management systems

UB04

CMS 1500

Claims adjudication software

Job description

Independent Living Systems is seeking a Claims Correspondence Coordinator to join our Miami team. You will manage and streamline healthcare claim communications across providers, clients and departments, ensuring accuracy, regulatory compliance, and timely resolution of disputes and appeals.

The role requires 2+ years in claims processing or healthcare administration, proficiency with Microsoft Office and claims management systems, and familiarity with UB04 and CMS 1500 forms.