Claims Correspondence Coordinator

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

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Claims Correspondence Coordinator

Full Time Clerical Miami, FL, US

30+ days ago Requisition ID: 3159

We are seeking a Claims Correspondence Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Claims Correspondence Coordinator plays an essential role in managing and streamlining communication related to claims between providers clients and various departments. This position ensures that all correspondence is handled efficiently, accurately, and in compliance with regulatory standards, thereby facilitating timely resolution of claims issues, disputes and appeals. The Claims Correspondence Coordinator acts as a liaison to clarify claim statuses, respond to inquiries, and support disputes and appeals processing team by maintaining organized records and documentation. By effectively managing correspondence workflows, this role contributes to improved customer satisfaction and operational efficiency. Ultimately, the Coordinator supports the integrity and accuracy of claims processing, which is essential for the financial health of the organization and the satisfaction of its stakeholders.

Minimum Qualifications:

• Minimum of 2 years experience in claims processing, health care administration, or a related field.
• Proficiency with standard office software (e.g., Microsoft Office Suite) and claims management systems.
• Experience processing UB04 and CMS 1500 claims
• Ability to manage multiple tasks and prioritize effectively in fast-paced environment.

Preferred Qualifications:

• Bachelor’s degree in Health Administration, Business, or a related discipline.
• Experience working within health care insurance or claims correspondence specifically.
• Familiarity with HIPAA regulations and health care compliance standards.
• Knowledge of medical terminology and health care billing processes.
• Experience with claims adjudication software.

Responsibilities:

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