Claims Processing Specialist

Claims Processing Specialist

Full Time Permanent Position

• Location: Downtown Miami Florida 33131

• Shifts: 8AM-5PM Monday-Friday

• Start Date: ASAP

• Pay: Starting at $18/hour and open to increase depending on experience

Benefits:

• 100% health insurance paid fully by company
• Paid parking or public transit
• Performance bonuses

Requirements:

Bilingual Spanish and English and Medical Processing Claims experience

Job Duties:

This position focuses to organize the daily operations of a fast-paced business line, to interact effectively with clients and providers, while in parallel performing administrative tasks and Logistics coordination for the Lat-Am offices, supporting the local Office Manager.

This position requires onsite presence during office hours (8 am to 5 pm), when required.

• Assist Office Manager with mailroom management, receiving and triaging mail, mail
• distribution, scanning & electronic filing, liaise with different departments.
• Assist Office Manager with outbound mail & UPS/FedEx coordination.
• Assist Office Manager with planning and preparation of meetings, conferences and
• conference calls.
• Assist Office Manager with maintaining an adequate inventory of office supplies.
• Assist Office Manager with administrative and logistics tasks

Claims & Administration (70%)

• Assuring claims are processed accurately and timely

• Implementing and providing business reports

• Analyzing any claim trends or issues impacting the business

• Working with company and client management to address issues

• Organize to ensure that all policy and procedure are conducted.

• Program and communication activities including but not limited to meeting set-up

• Oversee Enter, Update and Adjudicate claims

• Oversee the preparation, edits and proofreads correspondence, invoices and related

material.

• Oversee in coding external billings, money received, and check requests.

Administration & logistics (30%)

Major Accountabilities

• Provide relevant and timely assistance to clients and providers

• Provide relevant and timely assistance to LatAm office needs

• Provide quality of service as related to role specific activities

• Proper & timely escalation of challenges (internal & external) or efficiency enhancement

opportunities

Major Challenges

• Multi-tasking and prioritizing tasks when challenged with internal & external requests

• Understand complexities & confidentiality in assisting in specific projects lead by the VP of Operations.

• Some autonomy required in decision making in a fast-paced environment

KSA (Knowledge, Skills and Abilities)

• Fluent with Microsoft suite of products and adaptable to different tools and

technologies

• Principles and application of excellent customer service skills

• Ability to work independently, organize, prioritize, and multitask

• Excellent interpersonal skills and professional written and spoken communication

• Team oriented, key player in successful running of Claims and Administrative tasks as well as office logistics

Interested and want to learn more? Apply below.

IDEAL Personnel Services is one of the leading Staffing Agencies in South Florida dedicated solely to fulfilling your temporary and permanent staffing needs. As professionals in the industry, we are confident in our ability to find the most qualified IDEAL personnel for all your short term and long term positions in their respective field.

Recommended Skills

• Adaptability
• Claim Processing
• Communication
• Confidentiality
• Customer Service
• Decision Making