claims analyst.

Randstad is supporting one of our clients in the healthcare industry hire for their Claims Department. If you or anyone you know comes from a Medical/Healthcare Claims background and would benefit from a new opportunity at this time, please consider applying!  Please note: Training will be held for 4 weeks from M-F 8 am - 4:30 pm CST; however, the regular working schedule would be an 8-hr shift M-F between 5 am - 9 pm CST Updated resumes can also be sent directly to vivian.dang@randstadusa.com with the subject line "Medical Claims" for consideration. 

salary: $18 - $22 per hour
shift: First
work hours: 8 AM - 4:30 PM
education: High` School

Responsibilities

• Ability to interpret coding guidelines, CMS regulations, reimbursement, Medicare Claim Processing for accurate application of policy to claim edits and audits
• Research coding and fee schedule questions supporting various departments: Network Operations, Provider Contracting and Configuration
• Review unsettled provider disputes for compliant and fair outcome utilizing Call Trackers
• Participates in the review and approval process of new Medicare coding edits for claims 
• Productivity will vary depending on types of claims being worked each day. Using QNXT to process claims

Skills

Claims Processing

Data Collection

Filing

Claims

Analytical Thinking

Qualifications

Years of experience: 3 years

Experience level: Experienced

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For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.