Medical Claims Specialist On-site (Bilingual-Spanish)
Location: Glastonbury, CT
Schedule: 11am-8:30pm
Pay Rate: $23/Hour

Why you should apply to be a Medical Claims Specialist:

• Competitive pay rate
  

• Opportunity to work in a fast-paced environment
  

• Engaging client culture with a focus on teamwork and service delivery
  

• Professional growth and development opportunities

What’s a typical day as a Medical Claims Specialist? You’ll be:

• Processing or adjusting medical insurance claims in accordance with policies and procedures
  

• Answering phones and responding to client and medical provider inquiries related to payments
  

• Making outgoing calls to medical providers and insurance companies
  

• Reading and interpreting explanation of benefits and healthcare terminology
  

• Identifying, researching, and resolving claim issues and requests for additional documentation
  

• Promoting teamwork and ensuring contractual performance guarantees are met
  

• Processing medical payments for clients and assisting in the client appeals process
  

• Creating and updating financial batch records for processing by accounting
  

• Auditing payment files and managing workflow for the team

This job might be an outstanding fit if you:

• Have an associate’s degree (A.A./A.S.) or equivalent from a two-year college or technical school, or two to four years related experience and/or training, or equivalent combination of education and experience
  

• Possess knowledge of medical insurance practices, including enrollment, payment terms, and benefits coordination
  

• Have the ability to read and recognize similarities and differences between words and numbers
  

• Are proficient in basic math functions and can interpret bar graphs
  

• Can apply common sense understanding to carry out instructions in written, oral, or diagram form
  

• Are skilled in using word processing, spreadsheet, internet software, timekeeping systems, and have a preference for medical coding software
  

• Hold a certification in medical coding/billing or insurance claims processing

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