Location : Miami, FL

Job Type : Direct Hire

Hours : Full Time

Travel : No

Relocation : No

Experienced claims processor, claims examiner to process hospital claims "UB-04" and physician claims collections "CMS 1500", claims adjudication, coding and claims coverage determination
Must have extensive knowledge of hospital and physician billing and collections, knowledge of Medicare, Medicaid, Commercial and PPO claims processing a must
Must be able to interpret, apply and comprehend policy terms, deductibles and coinsurance
Coding ICD 9 (ICD 10 helpful), knowledge of how to process claims, how to read and interpret policies, CPT codes, Hospital coding and UB 04, Correct Coding Initiative principles and must be fully computer literate in use of Microsoft programs (word, excel, outlook and other every day office support software. Must be proficient with the use of telephone in dealing with customers, providers and members.

Must have experience in medical claims processing and adjudication, self motivated, responsible, and with a desire for advancement.