Claims Specialist

  • location: Nashville, TN
  • type: Contract
  • salary: $14 - $19 per hour
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job description

Claims Specialist

job summary:
Claims Specialist

Claims Specialists are responsible for using established methods to investigate, verify, and record third party liability (TPL) coverage information on behalf of our Medicaid payer clients.

Responsibilities:

  • Ability to adapt to the significant and frequent changes of the healthcare market
  • Ability to work within a team environment with a positive attitude
  • Detail oriented with strong investigative skills
  • Ability to think critically and analytically regarding trends and patterns in data
  • Proficiency with time and workload management with the ability to multi-task
  • Able to efficiently make a medium volume of outbound calls to various insurance carriers
Minimum Requirements (Required):

  • 1-3 years of relevant healthcare experience or equivalent work experience
  • Background in government and/or commercial insurance healthcare coverage is a plus
  • Excellent Communication (Verbal & Written) Skills
  • Strong work ethics and confidentiality
  • Must successfully pass CHC background check
Industry Skills (Preferred):

  • 2+ years of experience working with state and federal programs (Social Security & Medicaid)
  • Medical Terminology & documentation experience is a plus
  • Minimum of 1 year of demonstrated experience working with people of various educational and socio-economics background (Government agency, Behavioral Health Facility,)
  • Proficient computer skills with tablet devices and Microsoft Office applications (Outlook, Intermediate Excel and PowerPoint)
Education

  • Bachelor's degree or work experience with health insurance eligibility verification
 
location: Nashville, Tennessee
job type: Contract
salary: $14 - 19 per hour
work hours: 8 to 5
education: Bachelor's degree
experience: 2 Years
 
responsibilities:
Claims Specialist

Claims Specialists are responsible for using established methods to investigate, verify, and record third party liability (TPL) coverage information on behalf of our Medicaid payer clients.

Responsibilities:

  • Ability to adapt to the significant and frequent changes of the healthcare market
  • Ability to work within a team environment with a positive attitude
  • Detail oriented with strong investigative skills
  • Ability to think critically and analytically regarding trends and patterns in data
  • Proficiency with time and workload management with the ability to multi-task
  • Able to efficiently make a medium volume of outbound calls to various insurance carriers
Minimum Requirements (Required):

  • 1-3 years of relevant healthcare experience or equivalent work experience
  • Background in government and/or commercial insurance healthcare coverage is a plus
  • Excellent Communication (Verbal & Written) Skills
  • Strong work ethics and confidentiality
  • Must successfully pass CHC background check
Industry Skills (Preferred):

  • 2+ years of experience working with state and federal programs (Social Security & Medicaid)
  • Medical Terminology & documentation experience is a plus
  • Minimum of 1 year of demonstrated experience working with people of various educational and socio-economics background (Government agency, Behavioral Health Facility,)
  • Proficient computer skills with tablet devices and Microsoft Office applications (Outlook, Intermediate Excel and PowerPoint)
Education

  • Bachelor's degree or work experience with health insurance eligibility verification
 
qualifications:
Claims Specialist

Claims Specialists are responsible for using established methods to investigate, verify, and record third party liability (TPL) coverage information on behalf of our Medicaid payer clients.

Responsibilities:

  • Ability to adapt to the significant and frequent changes of the healthcare market
  • Ability to work within a team environment with a positive attitude
  • Detail oriented with strong investigative skills
  • Ability to think critically and analytically regarding trends and patterns in data
  • Proficiency with time and workload management with the ability to multi-task
  • Able to efficiently make a medium volume of outbound calls to various insurance carriers
Minimum Requirements (Required):

  • 1-3 years of relevant healthcare experience or equivalent work experience
  • Background in government and/or commercial insurance healthcare coverage is a plus
  • Excellent Communication (Verbal & Written) Skills
  • Strong work ethics and confidentiality
  • Must successfully pass CHC background check
Industry Skills (Preferred):

  • 2+ years of experience working with state and federal programs (Social Security & Medicaid)
  • Medical Terminology & documentation experience is a plus
  • Minimum of 1 year of demonstrated experience working with people of various educational and socio-economics background (Government agency, Behavioral Health Facility,)
  • Proficient computer skills with tablet devices and Microsoft Office applications (Outlook, Intermediate Excel and PowerPoint)
Education

  • Bachelor's degree or work experience with health insurance eligibility verification
 
skills: Insurance Claim Processing
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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