Medical Claims Specialist

  • Location
    Phoenix, Arizona
  • Category
    Healthcare
  • Job reference:
    US_EN_7_849078_2735378
  • Job Type
    Direct Hire

Medical Claims Specialist  

Ajilon Healthcare is partnering up with a Healthcare company in the North Phoenix area that is looking to add a experience Claims Specialists to their team. The ideal candidate will have working knowledge of Claims Processing and experience in the Claims department of a clinic.  This position is moving fast so if you,or someone you know, would be interested in this position, please apply below.

Day-to-Day Responsibilities for a Medical Claims Specialist:

  • Showcase professional and continuing communication with clinical and non-clinical staff
  • Guarantee that electronic claims files are drawn in each day and uploaded into the claims system
  • Identify process improvements and implement short- and long-term goals for the organization and the department
  • Act as the primary claims contact for re-insurers and third-party claims administrators
  • Evaluate and audit high profile and/or complex claims when needed
  • Adhere to the policies and procedures of the company

Qualifications for a Medical Claims Specialist:

  • Two to Four years of experience in health insurance claims
  • Familiar with Employee Retirement Income Security Act, Affordable Care Act, Department of Labor, and regulatory compliance requirements
  • Knowledge of claims processing systems
  • Great communication skills both written and oral

 

Please apply with your CV to:

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

EEO - EEO Poster Suppl - Affimative Action Policy
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