Medical Claims Analyst
- Full-Time
- Ormond Beach, FL
- Florida Health Care Plans, Inc.
- Posted 3 years ago – Accepting applications
Job Description
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:
Location: Florida Health Care Plans, Inc. · Medical Claims
Schedule: Full-time, 1st shift, Monday- Friday 8am-5pm
Apply to this Job
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