Health Insurance Claims Specialist

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 1,001-5,000Since 1979H1B SponsorCompany SiteLinkedIn

Location

District of Columbia + 1 moreAll locations: District of Columbia, Washington

Posted

32 days ago

Salary

$78K - $119K / year

Bachelor Degree3 yrs expEnglish

Job Description

• Support attorneys by reviewing claim files • Compile factual summaries • Identify key documents • Facilitate legal analysis regarding liability • Potential defenses, exposure valuations, and settlement strategies • Review and analyze health care claim files • Evaluate merits and potential liability of claim batches • Maintain case summaries, claim trackers and databases • Synthesize information into actionable summaries

Job Requirements

  • Familiarity with health care insurance claims
  • Strong working knowledge of payer-provider contracts
  • Medicare/Medicaid rules and regulations
  • Claims reimbursement frameworks
  • Experience reviewing and interpreting large volumes of healthcare claims data
  • Strong written communication skills
  • Excellent attention to detail
  • Proficiency with MS Suite and data driven analysis tools
  • Ability to work collaboratively with attorneys and clients

Benefits

  • healthcare
  • vision
  • dental
  • retirement
  • all-purpose leave
  • back up childcare
  • wellness programs
  • cultural events
  • social activities

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