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Integrated Home Brand
Miramar, FL | Full Time
$40k-51k (estimate)
3 Months Ago
Claims Trainer
$40k-51k (estimate)
Full Time 3 Months Ago
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Integrated Home Brand is Hiring a Claims Trainer Near Miramar, FL

Who we are:

IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients – 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1

Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services. We currently serve over 2 million lives throughout the nation and the Commonwealth of Puerto Rico.

Join our team as we strive for excellence through teamwork delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care.

Full time team members competitive compensation package, include but not limited to;

  • Medical, Vision, Dental, Short- and Long-term insurance
  • 6 Days of Holidays Pay
  • 15 days of PTO
  • Employer paid life insurance
  • 401K with employer contribution
  • Wellness program with reward incentives
  • Employee recognition and reward programs
  • Comprehensive paid training program

What will you be doing:

As a Claims Trainer you will conduct thorough reviews of both routine and complex claims, identifying instances of inaccurate claims adjudication. Analyze claims data and documentation to pinpoint discrepancies and errors. Summarize findings and recommendations in detailed reports for feedback and correction, addressing both claims examiners and management. Possess expertise in claim coding, including CPT, HCPC, ICD-10, and benefit/provider configuration, ensuring accurate claim processing and adherence to regulatory standards.

What will you need to be successful in the role:

  • 5 years with healthcare related training experience.
  • 5 years combined claims processing and health insurance training experience.
  • Proficient in health care claims coding; CPT, HCPC, and ICD-10 for CMS-1500 and UB-04 claim form
  • Ability to determine root cause of processing errors and successfully executive staff reeducation
  • Experience training end-users on the proper use of the system.
  • Resourcefulness and problem-solving aptitude
  • Ability multitask in a fast pace environment
  • Strong communication skills both written and verbal
  • Proficient in Microsoft Office Suites.
  • HRP

Join our team as we strive for excellence through teamwork, where our patients are #1!

IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Summary

JOB TYPE

Full Time

SALARY

$40k-51k (estimate)

POST DATE

02/24/2024

EXPIRATION DATE

06/24/2024

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The following is the career advancement route for Claims Trainer positions, which can be used as a reference in future career path planning. As a Claims Trainer, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Trainer. You can explore the career advancement for a Claims Trainer below and select your interested title to get hiring information.