Medical Claims Analyst Details

Medical Claims Analyst

Florida Health Care Plans, Inc. - Ormond Beach, FL

Employment Type : Full-Time

Summary:

This position is focused on receiving, reviewing, and adjudicating claims that require analysis and critical thinking to resolve and pay. Most claims are for services that involve multiple providers, pre-authorization, institutional or special pricing or coordination of benefits. The successful candidate should have some training and experience in a medical claims or medical environment and be able to use such training to analyze workflow and adapt to changing priorities within the Claims Department.




QUALIFICATIONS:

• High School Graduate or equivalent.
  


• Good oral and written communication skills.
  


• Knowledge of Medical Terminology is preferred.
  


• Three years of experience in Health related field desired.
  


• Strong organizational and communication skills.
  


• Good computer entry skills required.
  


• CPT coding and diagnosis coding training and/or experience is preferred.
  


• Knowledge of coding and diagnosis coding is helpful.
  


• Must be able to work well and interact with others in a positive manner.
  


• Must be a team player.
  

Location: Florida Health Care Plans, Inc. · Medical Claims
Schedule: Full-time, 1st shift, Monday- Friday 8am-5pm