Claims Specialist

  • location: Nashville, TN
  • type: Contract
  • salary: $19.23 per hour
easy apply

job description

Claims Specialist

job summary:
Seeking a Medicaid Claims Analyst for a leading healthcare organization.

Medicaid Claims Analyst are responsible for using established methods to investigate, verify, and record third party liability (TPL) coverage information on behalf of our Medicaid payer clients through various methods including phone calls, correspondence, and online portals.

  • Medicaid Claims Analysts maintain accurate TPL coverage to trigger appropriate cost-avoidance and recovery activities.
  • Medicaid Claims Analysts also respond to client research requests and may be assigned other tasks as requested by management.
  • Medicaid Claims Analysts operate in a fast-paced, production environment and take ownership of their work product by understanding the value of timely, accurate TPL lead investigation.
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
  • Very strong verbal and written communication skills
  • Proficiency Microsoft Windows and Office products (esp. Word and Excel)
  • Overtime may be needed based on operational need
Minimum Requirements (Required):

  • 2-5 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 socioeconomics 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 relevant work experience with health insurance eligibility verification
Physical Requirements

  • General Office Demands


 
location: Nashville, Tennessee
job type: Contract
work hours: 8 to 5
education: Bachelor's degree
experience: 2 Years
 
responsibilities:
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
  • Very strong verbal and written communication skills
  • Proficiency Microsoft Windows and Office products (esp. Word and Excel)
  • Overtime may be needed based on operational need


 
qualifications:
Minimum Requirements (Required):

  • 2-5 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 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 socioeconomics 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 relevant work experience with health insurance eligibility verification
 
skills: Other
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.

easy apply

get jobs in your inbox.

sign up
{{returnMsg}}

related jobs