MEDICAL CLAIMS SPECIALIST

A healthcare organization is seeking a detail-oriented and driven Medical Claims Specialist to join its revenue cycle team. In this role, you will manage the full lifecycle of medical billing, working proactively to resolve denied claims and minimize aging accounts receivable while maintaining strong, professional communication with insurance payers.

Pay Rate: $20.00 - $27.00 per hour (Depending on experience)

Job Type: Full-time, Temp to Hire Location: Miami, FL 33326 (FULLY ONSITE)

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salary: $20 - $27 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

• Check patient insurance coverage and secure required prior authorizations before appointments to prevent coverage issues.

• Prepare and submit clean medical claims to insurance carriers using accurate CPT codes.

• Review Explanation of Benefits (EOB/ERA) statements, post payments, and flag payment variances or underpayments.

• Analyze denial codes to identify rejections, correct claim errors, and file formal appeals to recover unpaid revenue.

• Contact insurance payers, check online portals, and resolve unpaid claims within strict timely filing deadlines.

• Ability to assist with project-based assignments as needed

Skills

• Collections
• Accounts Receivable
• Claims Processing
• ICD-9
• ICD-10
• CPT Codes
• Medical Billing - Denials
• Medical Billing

Qualifications

• Years of experience: 2 years
• Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

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.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on us.fitly.work.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.