Claims Clerk - Miami, FL

The Claims Clerk is
responsible for assisting the Claims Department with the daily entry of
professional claims into the claims adjudication system. Responsibilities of
this position include but are not limited to those as outlined below.

• Reliably
  and consistently meets work schedules, productivity requirements and
  deadlines.
• Flexibility
  in performance of work assigned in order to meet goals.
• Provides
  departmental workflow support as needed; has a strong team spirit and
  works cooperatively assisting other employees as necessary.
• Maintains
  confidentiality
• Complies
  with all departmental as well as company policies and procedures.
• Responsible
  for acting in accordance with and complying with all departmental and
  company policies in relation to:
• 
  
  Compliance Program
• 
  
  Risk Management Program
• 
  
  Medicare Program
• Medicaid Program
• 
  
  Assists
  in special projects as needed.
• Reviews
  claim form for accuracy and completeness.
• Performs
  other duties as required.

• Knowledge
  of CPT-4, HCPS, and ICD-9 codes.
• Knowledge of managed care and medical
  terminology.
• High School Diploma/ GED or 10 years of equivalent work experience
  
• 1+ years experience in data entry
  position or equivalent.
• Working Hours M-F 7a-7p
  

Assets:

• Bilingual
  (English/Spanish) preferred.