Health Insurance Claims Coordinator

3 weeks ago


Miami, Florida, United States PayerFusion Full time

PayerFusion is seeking an experienced Health Insurance Claims Coordinator to join our team. As a Health Insurance Claims Coordinator, you'll play a critical role in ensuring that medical and dental claims are processed accurately and efficiently.

About Us:

We're a licensed third-party administrator dedicated to delivering innovative solutions for the healthcare industry. Our commitment to excellence has earned us a reputation as a trusted partner for clients seeking top talent.

Job Summary:

You'll be responsible for analyzing policy coverage, assessing documentation, and communicating with members and providers. Your strong organizational and communication skills will enable you to work effectively with cross-functional teams and drive business growth.

Key Responsibilities:

  • Process medical and dental claims accurately and efficiently.
  • Ensure data entry is accurate and complete.
  • Analyze policy coverage and assess documentation for member reimbursement.
  • Communicate effectively with members and providers through verbal and written skills.

Requirements:

  • Proven experience in medical claims processing and adjudication.
  • Strong organizational and communication skills.
  • Proficient in Microsoft Outlook, Excel, and Teams.
  • Excellent English written and verbal skills.

Salary Range: $62,000 - $82,000 per year.



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