Claims Specialist

Miami (Kendall), FL | Temporary/ Hourly

Post Date: 02/07/2018 Job ID: 32449 Industry: Healthcare Pay Rate: $17HR

Great opportunity for a Claims Specialist in the Kendall area to provide billing and/or claims management support. Responsibilities include:
·    Complying with payer filing deadlines by utilizing all available resources to resolve held claims.
·    Assuring all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes.
·    Communicate with various teams within the organization.
·    Utilizes coding compliance and understanding of ICD-9, CPT-4 and associated modifiers to successfully resolve claims management issues.  
·    Utilize hospital-based applications/databases to verify/review patient registration or work all general levels of assigned tasks to ensure accuracy, support claims processing and meet productivity standards.
·    Review claim data and supporting documentation submitted for billing to ensure appropriate coding and billing.

·    High School Certificate or GED
·    Certified: CCA, CCS, CCS-P Coder
·    3-5 years claims experience
·    Experience working with surgical/primary claim denial management and collections.
·    Proficient in Microsoft Word, Outlook, PowerPoint, and Excel

Maria Martinez
Executive Recruiter

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