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:

  • 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
Apply to this Job