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

Achieve Test Prep

FT Virtual Administrative Assistant - Work From Home Job at Achieve Test Prep

[Office Assistant / Remote] - Anywhere in U.S. / Competitive pay / Flexible schedule - As a Virtual Administrative Assistant at Achieve Test Prep, you will: Manage calendars and schedule appointments for the team; Organize and maintain electronic and physical files; Respond... 

Raytheon

Aircraft Crew Chief (Onsite) Job at Raytheon

 ...Quality Management System and ISBAO requirements/procedures. Ensure that all activities are in compliance with all appropriate Raytheon Technologies and Government EH&S, Compliance and Ethics policies and guidelines. Perform additional tasks and acquire varying responsibilities... 

Tutor Doctor - AB Learning Solutions

Reading Specialist Tutor Job at Tutor Doctor - AB Learning Solutions

 ...-home tutoring, either at the students home or in a quiet public location such as the library.We are currently seeking a Reading Specialist Tutor who is passionate about fostering literacy skills, improving reading fluency, and helping students build confidence in... 

USA Labor Services

Mail Clerks / Mail Machine Operators Job at USA Labor Services

 ...POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY...  ....63 to $39.27/hour, $72,400/year average pay with full benefits.Benefits include paid...  ...full benefits per employee per location ~ High Pay, Strong Benefits, and more long-term... 

Manpower

Production Worker Job at Manpower

 ...growth opportunities What is the job? Prepping packaging containers and materials Stripping and gluing foam or corrugate from product Use of air powered tools and gluing equipment What do you bring to the job? Demonstrated reliability Ability to pass a...