Claims Specialist

Immediate need for a talented Claims Specialist. This is a 06 Months Contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:26-33362

Pay Range: $22 - $23/hour. Employee benefits include but are not limited to health insurance (medical dental vision) 401(k) plan and paid sick leave (depending on work location).

Key Responsibilities:

• Support the team in reviewing and processing appeals disputes and reconsiderations in accordance with established regulatory and accreditation guidelines.
• Perform data entry to track log and process appeals with a focus on accuracy (40 WPM 90% accuracy).
• Prepare correspondence and maintain documentation files related to appeals and disputes.
• Conduct research to evaluate and respond to claims effectively ensuring timely decisions.
• Gather data to track trends and final outcomes conducting outreach for updates as necessary.
• Comply with all policies and standards while performing other duties as assigned.

Key Requirements and Technology Experience:

• 2 years of healthcare claims and authorization experience including claims review provider appeals denials or reconsiderations.
• Strong data entry skills (40 WPM 90% accuracy) and attention to detail.
• Experience with TruCare and AMISYS preferred.
• High School diploma or GED Required.
• Knowledge of appeals disputes and reconsiderations processes.
• Experience in Claims Processing Utilization Management and Medical Billing/Coding.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position please apply online for immediate consideration.

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