Medical Claims Specialist

1 month ago


Cedar Rapids, United States Robert Half Full time
Job DescriptionJob Description

We are offering a contract to hire employment opportunity for a Medical Claims Specialist in Cedar Rapids, Iowa. This role is in the healthcare industry and will be based in a dynamic and fast-paced environment. As a Medical Claims Specialist, you will be tasked with managing and processing medical claims, maintaining vendor relationships, handling billing functions, and ensuring the smooth operation of the medical insurance process.


Responsibilities:


• Taking charge of receiving and processing inbound invoices or fees from prescription or other vendors related to the client's health plan.

• Corresponding with vendors regarding invoices, payments and processing.

• Managing confidential or sensitive data, exercising discretion and tact.

• Assisting with additional duties or projects as assigned.

• Monitoring customer accounts and taking appropriate action when necessary.

• Engaging in the management of medical insurance processes and procedures.

• Proficiency in Billing Functions
• Experience in Claim Administration
• Familiarity with Collection Processes
• Ability to Enter Vendor Invoices accurately
• Capacity to Process Payments in a timely manner
• Strong skills in Vendor Relationship Management
• Proficiency in Data Entry tasks
• Knowledge of Medical Insurance procedures and regulations

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