Medical Claims Specialist
hace 1 mes
About the Role:
First Image Consulting Peru Sac is seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a crucial role in examining, processing, and calculating medical claims to ensure accurate filings, documentation, and reports.
Key Responsibilities:
- Assist claimants, providers, and clients with problems or questions regarding their claims and/or policies
- Process claims reimbursements for gaps
- 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 appeals
Requirements:
- 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
- Skilled in Microsoft Office, particularly Excel
- Able to handle high volumes of claims and work independently with minimal supervision
Work Schedule:
Monday to Friday, 9:00 am to 6:00 pm
What We Offer:
- A competitive salary of $35,000 per year, reflecting your exceptional skills and experience
- The opportunity to grow with our company and take on new challenges
- A supportive team environment that values collaboration and open communication
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