Claims Specialist - Healthcare Insurance Professional
Claims Specialist - Healthcare Insurance Professional - Remote (#R10255)
- Location: Remote
- Employment Type: Full-Time
- Hourly Rate: $35.00/hour
About Greenlife Healthcare Staffing:
Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.
Position Overview:
An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a Claims Specialist - Healthcare Insurance Professional role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred.
Why Join Us?
- Competitive Compensation: $35.00/hour
- Work Schedule: Full-time, Monday–Friday
- Comprehensive Benefits: Comprehensive benefits package
- Professional Growth: Develop specialized expertise in healthcare reimbursement
- Impactful Work: Optimize revenue integrity and financial outcomes
Key Responsibilities:
- Review claims for accuracy and compliance.
- Assist with appeals and disputes.
- Interpret payer policies and communicate updates.
- Identify reimbursement trends and risks.
- Support the revenue cycle and compliance team.
Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives.
Requirements
Qualifications:
- Job qualifications & certifications:
- 2+ years of insurance company experience
- Understanding of claims processing and payer guidelines.
- Skills:
- Strong analytical skills
- Familiarity with healthcare reimbursement
- Excellent communication abilities
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