Medical Claims Specialist

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

Benefits offered by this job

Competitive salary

Medical benefits

Dental benefits

Vision benefits

Job summary

A national healthcare staffing firm in Clearwater is looking for a professional to manage the full cycle of claims denial investigations. Candidates must possess 2 years of experience in Claims, Appeals, and Denials, along with billing knowledge, including Medicare and Commercial Insurance. Proficiency in Excel is essential as you'll be working with data sorting and filtering. This position offers a competitive salary of $14-16 per hour, along with benefits including medical, dental, and vision care.

Qualifications

• 2 years of experience in Claims, Appeals, and Denials from a hospital or physician background.
• Knowledge of Commercial Insurance, Medicare, Medicaid, ICD 10, CPT Codes, and various billing forms.
• Ability to work with multiple applications and dual screens.

Responsibilities

• Handle the full cycle process of claims denial investigation.
• Research and assist in getting claims into the appeals process.

Skills

Claims and Appeals experience

Billing knowledge

Proficiency with Excel

Tools

Proprietary hospital systems

Web applications

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

• Handling the full cycle process of figuring out WHY a CLAIM was DENIED and from there RESEARCHING and figuring out WHAT needs to be done to get it into the appeals process
• Work off of 6 proprietary systems, each unique to the client (hospital system) they are working with.

Qualifications

• Must have Claims, Appeals and Denials experience of 2 years coming from hospital and/or physician background
• Must have billing knowledge, as well as Commercial Insurance,Medicare, Medicaid, ICD 10, CPT Codes and understand the various billing forms, such as CMS 1500 and HCFA 1500 (types of billing forms used for hospital/physicain billing)
• Must be able to work off many different web applications and dual screens
• Must be very proficient with Excel spreadsheets as that is what they are given their work off of (sorting, filtering, etc.)

Additional Information

Hours for this Position:

M-F 7:30 to 4:30 or 8:00 to 5:00

Advantages of this Opportunity:

• Competitive salary $14-16 (depending on experience)
• Benefits offered, Medical, Dental, and Vision