Claims Analyst III
Integrated Resources INC
Apply to this jobIntegratedResources, Inc is a premier staffing firm recognized as one of the tri-statesmost well-respected professional specialty firms. IRI has built its reputationon excellent service and integrity since its inception in 1996. Our missioncenters on delivering only the best quality talent, the first time and everytime. We provide quality resources in four specialty areas: InformationTechnology (IT), Clinical Research, Rehabilitation Therapy and Nursing.
Job Title: Claims Analyst III
Duration: 3 Months
Location: Doral, Florida
Responsibilities:
This department handles claim provider complaints.
Review of claims that have already been processed by the system.
The suppliers are complaining about issues with the previously processed claims.
Will be identifying root causes, necessary correction of root causes and provide feedback to providers.
Will be utilizing Microsoft Excel heavily.
*A minimum of 1-2 years’ experience in claims processing with professionals or hospitals*
Top 3 skills:
Computer skills - Microsoft Excel (intermediate to advanced skills, i.e.: pivot tables, v-look ups)
Attention to detail
Strong written communication skills
Must Haves:
Claims background
Knowledge of billing guidelines
Knowledge of contract interpretation
Knowledge of billing/coding - CPT & ICD-10
Kind Regards,
Arnab Ghatak
Technical Recruiter
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I
Gold Seal JCAHO Certified ™ for Health Care Staffing
“INC 5000’s FASTEST GROWING, PRIVATELY HELD COMPANIES” (8th Year in a Row)
Summary
Review processed claims, identify root causes, correct issues, and communicate with providers using Excel.
Job title
Claims Analyst III
Experience level
1-2 years
Industry
healthcare
Location requirements
Doral, FL, with remote work allowed
Salary
Not specified
Visa sponsorship
H-1B sponsor history
Management role
No
Required skills
Preferred skills
Specializations
Structured locations inferred from the posting.
Doral, FL, USA