Claims Analyst IIIIntegratedResources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.
Job Title: Claims Analyst III
Duration: 3 Months
Location: Doral, Florida
Qualifications
Responsibilities:- This department handles claim provider complaints.
- Review of claims that have already been processed by the system.
- The suppliers are complaining about issues with the previously processed claims.
- Will be identifying root causes, necessary correction of root causes and provide feedback to providers.
- Will be utilizing Microsoft Excel heavily.*A minimum of 1-2 years' experience in claims processing with professionals or hospitals *Top 3 skills:
- Computer skills - Microsoft Excel (intermediate to advanced skills, i.e.: pivot tables, v-look ups)
- Attention to detail
- Strong written communication skills
Must Haves:- Claims background
- Knowledge of billing guidelines
- Knowledge of contract interpretation
- Knowledge of billing/coding - CPT & ICD-10
