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Claims Analyst III

IntegratedResourcesINC · Doral, FL
Category Other
Posted 9y ago
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Job description

Company Description IntegratedResources, Inc is a premier staffing firm recognized as one of the tri-statesmost well-respected professional specialty firms. IRI has built its reputationon excellent service and integrity since its inception in 1996. Our missioncenters on delivering only the best quality talent, the first time and everytime.

We provide quality resources in four specialty areas: InformationTechnology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description 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 Additional Information Kind Regards, Arnab Ghatak Technical Recruiter Integrated Resources , Inc. IT Life Sciences Allied Healthcare CRO Certified MBE | GSA - Schedule 66 I GSA - Schedule 621I Gold Seal JCAHO Certified ™ for Health Care Staffing “INC 5 0 0 0 ’s FASTEST GROWING, PRIVATELY HELD COMPANIES” (8th Year in a Row)