Experienced Healthcare Claims Specialist

2 weeks ago


Tampa, Florida, United States ImageNetLLC Full time
Job Summary

We are seeking an experienced Healthcare Claims Processor to join our team at Imagenet LLC. As a key member of our claims processing team, you will be responsible for accurately and efficiently processing medical claims in compliance with payer requirements and internal policies.

This is a fully remote position that offers a flexible schedule and the opportunity to work independently or within a team. If you have a strong understanding of health claims processing and adjudication, and are able to perform basic to intermediate mathematical computation routines, we encourage you to apply.

Key Responsibilities
  • Maintain up-to-date knowledge of coding guidelines, payer policies, and regulatory requirements related to claims processing.
  • Perform claims audits and quality checks to ensure accuracy and compliance.
  • Assist in the development and implementation of claims processing procedures and workflows.
  • Participate in ongoing training and professional development activities.
  • Provide backup support and cross-training to other team members as needed.
  • Train new claims processors on systems and processes.
  • Coding Specialist - Develop expertise in medical classification codes.
  • Consistent production & quality >95%.
Requirements
  • High School Diploma or equivalent required.
  • Preference for minimum of two-year experience working closely with healthcare claims or in a claims processing/adjudication environment.
Benefits
  • Dental insurance.
  • Health insurance.
  • Vision insurance.
  • PTO.
  • 401K Savings Plan.
Work Environment

This is a remote work opportunity that offers a flexible schedule and the opportunity to work independently or within a team.

We appreciate referrals and always look to reward employees who help us grow.



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