Medical Claims Specialist in Weston, FL at APEX Systems

Date Posted: 12/4/2019

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Weston, FL
  • Job Type:
  • Experience:
    Up to 7 year(s)
  • Date Posted:
    12/4/2019

Job Description

Job #:  1030586
If you are interested in applying for this role, please email an up to date copy of your resume to SRETZ@APEXSYSTEMS.COM thank you!
Position Details:
Role: Claims Specialist 3
Duration: 7 Month Contract 
Address: REMOTE
Job Description: 
Summary: The main function of the claims specialist is to analyzing claim denials, working with payors to resolve denials, tracking all denials by payor and denial category, trending recurring denials, and recommending process improvement or system edits to eliminate future denials.
Job Responsibilities:
  • Review and analyze claim denials in order to perform the appropriate appeals necessary for reimbursement.
  • Receives denied claims and researches appropriate appeal steps.
  • Collect required documentation, review file documentation, and make sure all items needed are requested.
  • Ensure that all claim documentation is complete, accurate, and complies with company policy.
  • Establish, maintain, and update files, databases, records, and other documents for recurring internal reports.
  • Identifies, documents, and communicates trends in recurring denials and recommends process improvements or system edits to eliminate future denials
  • Contact and communicate with clients by telephone, e-mail, or in-person.

Skills:
  • Excellent written and verbal communication.
  • Strong attention to detail.
  • Ability to handle multiple tasks with frequent interruptions.
  • Knowledge of basic accounting processes and procedures.
  • Basic computer skills including Microsoft Office.

Education/Experience:
  • Associates degree in billing, coding, business, finance or related field required
  • Equivalent work experience may be substituted for education
  • 5 to 7 years of experience required.

 
 
 
 
 
 
 
 
EEO Employer
Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at 844-463-6178.