Claims Analyst III

Claims Analyst III

IntegratedResources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

Job Title: Claims Analyst III

Duration: 3 Months

Location: Doral, Florida

Qualifications

Responsibilities:

This department handles claim provider complaints.

Review of claims that have already been processed by the system.

The suppliers are complaining about issues with the previously processed claims.

Will be identifying root causes, necessary correction of root causes and provide feedback to providers.

Will be utilizing Microsoft Excel heavily.

*A minimum of 1-2 years' experience in claims processing with professionals or hospitals *

Top 3 skills:

Computer skills - Microsoft Excel (intermediate to advanced skills, i.e.: pivot tables, v-look ups)

Attention to detail

Strong written communication skills

Must Haves:

Claims background

Knowledge of billing guidelines

Knowledge of contract interpretation

Knowledge of billing/coding - CPT & ICD-10

Kind Regards,

Arnab Ghatak

Technical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

Certified MBE | GSA - Schedule 66 I GSA - Schedule 621I

Gold Seal JCAHO Certified for Health Care Staffing

"INC 5 0 0 0 's FASTEST GROWING, PRIVATELY HELD COMPANIES" (8th Year in a Row)