Claims Examiner Insurance Company HMO Experience
Operations | Miami, FL | Full Time
We are a service-based company and as a licensed third party administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach.
The ideal Claims Examiner- Claims Processor must have the ability to understand health benefits, read policy terms and conditions and have a clear understanding of deductibles, co-payments, coinsurance, policy terms and conditions limits and exclusions. Prior work experience working in an insurance company, advantage health plan, administering self-funded health plans or an HMO.
Knowledge of medical claims coding, different medical specialties and medical services billed for payment by providers to insurance companies is a must.
The candidate (s) must have the ability to communicate with customers in proficient English, write emails and handle phone calls from customers in a professional and efficient manner.
- PayerFusion provides competitive compensation. Base compensation commences with experience, and knowledge of the claims administration industry.
- PayerFusion provides competitive benefits that include vacation, holiday, sick-time as well as health insurance and other corporate benefits.