Claims Coordinator

Company: Financial Designs
Location: Miami
Posted on: January 27, 2023

Job Description:

Description:
We are seeking a Claims Coordinator to join our friendly, motivated team. The Claims Processor will process medical claims, and provide assistance to customers and administrative staff. The candidate must possess interpersonal, analytical problem-solving, organization, time management, communication and customer service skills. Responsibilities: The essential functions include, but are not limited to the following:

• Examining, processing, and calculating medical claims insuring filings, documentation and reports
• Assisting claimants, providers, and clients with problems or questions regarding their claims and/or policies
• Process medical claim reimbursements for gap
• Transfer deductibles
• Help file Short and Long Term Disability Claims
• Assist with Medication Issues
• Assist with authorizations
• Verify benefits
• Provide insurance information to providers
• Assist with appeal Shift: Monday to Friday Job Benefits:
  • Competitive base salary ( Salary increase by performance )
  • Health Insurance Benefits
  • Additional Insurance benefits
  • Paid vacation
  • Paid Holidays
  • 401K
    
    Requirements:
    Minimum Qualifications (Knowledge, Skills, and Abilities)
    • High school diploma or general education degree (GED)
    • Six to 12 months of related experience and/or training (or equivalent combination of education and experience)
    • Ability to read and interpret documents such as medical and drug manuals, and procedure manuals
    • Ability to define problems, collect data, establish facts, and draw valid conclusions
    • Skill and ability to read and understand manuals, medical terminology, and insurance claims
    • Ability to handle high volumes of claims and work independently with minimal supervision
    • Must be a multitasker and have time management skills Must be Bilingual English/ Spanish. Excel, Microsoft and Outlook skills. Team working and positive attitude. PI201379943

Keywords: Financial Designs, Miami , Claims Coordinator, Other , Miami, Florida