Medical Claims Specialist

hace 4 días


Xico, México First Image Consulting Peru Sac A tiempo completo

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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