Medical Claims Denials & Appeals Specialist

Healthcare Support Staffing; Clearwater (FL); On-site; USD 19,286 - 22,041; Full time

Benefits offered by this job

Competitive salary

Medical, Dental, Vision benefits

401k

Paid Time Off (PTO)

Job summary

A leading healthcare staffing firm in Clearwater, Florida is seeking a claims processor with expertise in handling denial resolutions. The role involves researching claim denials, interacting with insurance companies, and managing the appeals process for a variety of clients. Candidates should possess at least 2 years of experience in claims and billing, along with strong critical thinking skills. The position offers a competitive salary and comprehensive medical benefits.

Qualifications

• 2+ years of claims, appeals, and denials experience in healthcare.
• Proficient in handling various billing forms like CMS 1500 and HCFA 1500.
• Experience working the full claim process, not just data entry.
• Ability to work in high-paced environments with multiple applications.

Responsibilities

• Handle the full cycle of claim denial processes.
• Research and manage communication with insurance companies.
• Organize workflow using proprietary systems and Excel.

Skills

Claims management

Appeals process

Critical thinking

Excel proficiency

Billing knowledge

Job description

A leading healthcare staffing firm in Clearwater, Florida is seeking a claims processor with expertise in handling denial resolutions. The role involves researching claim denials, interacting with insurance companies, and managing the appeals process for a variety of clients. Candidates should possess at least 2 years of experience in claims and billing, along with strong critical thinking skills. The position offers a competitive salary and comprehensive medical benefits.