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Healthcare Support Staffing

Bilingual Claims Examiner

Healthcare Support Staffing, Troy, Michigan, United States, 48083

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HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description Are you an experienced Claims Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes” to any of these questions – this is the position for you!

Daily Responsibilities

Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments

Researches claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error

Identifies potential Provider problems through a proactive approach in which data is mined and trended to identify and prevent provider problem areas

Qualifications Hours for this Position:

Must be bilingual in Spanish

Claims, Appeals, Denials experience for an insurance company or hospital or medical office or financial company

Advantages of this Opportunity

Competitive salary, negotiable based on relevant experience

Acquire new skills and learn new knowledge

Fun and positive work environment

Additional Information Interested in hearing more about this great opportunity?

If you are interested in applying to this position, please click Apply Now and email your resume to Michael Grifon.

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