Medical Claims Specialist
1 week ago
We are seeking a highly skilled Medical Claims Representative to join our team in a fast-paced environment. As a Medical Claims Representative, you will be responsible for processing medical claims from start to finish, ensuring timely and accurate responses to clients, and providing outstanding customer support.
Key Responsibilities:- Maintain knowledge of multiple benefit schedules in regards to medical claims and claims processing
- Respond timely and accurately to phone calls, emails, and correspondence by answering questions
- Explain claim denials, notices, and payments from client requests
- Research eligibility and claims requirements
- Maintain system information, updated client and vendor profiles
- 2 years of experience in claims processing (2 years of experience is preferred)
- 1 year of experience in medical customer service (1 year of experience is required)
- EHR/Epic experience
- CPT Codes
- ICD-10
- ICD-9
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.
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 us.
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 health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
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