Bilingual Claims Examiner

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:

Are you an experienced Claims Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities:  

• Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments

• Researches claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error

• Identifies potential Provider problems through a proactive approach in which data is mined and trended to identify and prevent provider problem areas

Hours for this Position:

• Mon-Fri 8am-4:30pm

Advantages of this Opportunity: 

• Competitive salary, negotiable based on relevant experience

• Acquire new skills and learn new knowledge

• Fun and positive work environment

Qualifications/ Requirements: 

• Must be bilingual in Spanish

• Claims, Appeals, Denials experience for an insurance company or hospital or medical office or financial company

• HS Diploma/GED