Claims Adjuster Job at PrideStaff, Clearwater Beach, FL

YkVmNWxwcWJUYjZPOEtiRlllcThPdzBpRkE9PQ==
  • PrideStaff
  • Clearwater Beach, FL

Job Description

Claims Adjuster

We have a great opportunity for individuals with medical coding and medical insurance experience to join a dedicated team in Clearwater. This client is seeking candidates with a proven background in reviewing and determining the eligibility of health insurance claims. This is a full-time, first shift role that offers PTO and insurance benefits upon hire into the company.

Duties and Responsibilities:

  • Eligibility Determination: Work with individuals to thoroughly review insurance claims and make informed decisions regarding eligibility for coverage.
  • Medical Coding: Use ICD-10 codes and CPT-4 codes to accurately code claims for processing.
  • Customer Support: Work with customers to understand their issues and insurance problems to determine and communicate the best course of action.
  • Quality Control: Review bills and associated documentation to ensure accuracy and prevent errors in payment.

Experience and Qualifications:

  • Coding Experience: Strong working history using ICD-10 and CPT-4 codes is required.
  • Claims Experience: Previous experience with claims processing and decision-making authority on claims is necessary.
  • Industry Experience: Previous experience with Medicare insurance claims is highly preferred.
  • Communication Skills: Excellent communication skills, both verbal and written, are mandatory for effective customer and internal interactions.
  • Technical Skills: Strong general computer skills, specifically proficiency with Microsoft Office products.

Compensation / Pay Rate (Up to): $22.50

PrideStaff

Job Tags

Full time, Work at office, Day shift,

Similar Jobs

Raytheon

Test Technician Sr. - 3rd Shift Job at Raytheon

 ...Test Technician At Raytheon, the foundation of everything we do is rooted in our values and a higher calling to help our nation and allies defend freedoms and deter aggression. We bring the strength of more than 100 years of experience and renowned engineering expertise... 

VLink Inc

Web Designer Job at VLink Inc

 ...Position: Web Designer Location: Orlando, Fl (100% Remote) Duration: 6 Months (With Possible Extension) Position General Summary: This Intermediate-level role is responsible for the design, development, and creation of high-quality websites, standalone interactives...