Claims Customer Service Representative

Healthcare Support Staffing; Fort Lauderdale (FL); On-site; USD 20,664 - 23,419; Full time

Job summary

A national healthcare recruiting firm seeks a Claims Specialist in Fort Lauderdale, FL. The ideal candidate will have a high school diploma, at least 5 years in a medical claims environment, and 3 years of customer service experience. Key responsibilities include providing claims information and maintaining quality standards. Bilingual proficiency in English and Spanish is essential. The position offers a competitive salary of $15 - $17 per hour based on relevant experience.

Qualifications

• Minimum 5 years experience in medical claims environment.
• Demonstrated knowledge of relevant medical coding systems.

Responsibilities

• Provide claims information to providers through telephone and facsimile.
• Recognize potential issues and refer them for resolution.
• Maintain quality standards for claims calls.
• Log calls for reporting and tracking.
• Provide support to Claims Department staff.

Skills

Customer service experience

Fluent in both English and Spanish

Knowledge of ICD-9, CPT-4 and HCPCS coding

Education

High school diploma or GED

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

• Provide claims information through telephone inquiry from providers of service.
• Provide claim information through inquiries receive via facsimile from providers of service.
• Recognize potential problems and refers them to the appropriate person to include Claims Management for resolution, and follows up to assure resolution.
• Maintains a broad knowledge of all systems used in the adjudication of claims.
• Maintains quality standards of claims calls handled.
• Maintain a log of calls for use in the reporting and tracking of calls handled.
• Liaison to other departments outside of the claims department.
• Provides back-up to the Claims Department staff, (claims examiners, data entry & clerical)

Qualifications

• High school diploma or general education degree (GED)
• Minimum 5 years experience in medical claims environment.
• Minimum 3 years customer service experience.
• Demonstrated knowledge of ICD-9, CPT-4 and HCPCS coding
• Fluent in both English and Spanish.

Additional Information

Hours for this Position:

Monday-Friday 8:30am-5:00pm

Advantages of this Opportunity:

• Competitive salary $15 - $17 per hour (depending on relevant experience)