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Medical Claims in Largo, FL at Accounting Now

Date Posted: 9/18/2018

Job Snapshot

Job Description

Immeidate Openings!! Large 30 year old Healthcare organization in the Clearwater area.

Amazing benefits and beautiful location.

JOB SUMMARY: Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. Receive, organize and make daily use of information regarding benefits, contract coverages, and policy decisions. Coordinate daily workflow to coincide with check cycle days to meet all service guarantees.
Medical Terminology - Health/Insurance - Fast Pace Environment - AWD Experience - Ability to Read and Interpret EOBs
ESSENTIAL DUTIES & RESPONSIBILITIES (other duties may be assigned as necessary):
 Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries.
 Interpret contract benefits in accordance with specific claim processing guidelines.
 Understand broad strategic concept of our business and link these to the day-to-day business functions of claims processing.
 Minimal external contact with providers/agents/policyholders.
 Minimum of one (1) year related experience required.
 Experience in medical terminology preferred.
 Experience with Medicare Supplement experience needed.

apply now and start monday!