Claims Specialist
Doctors HealthCare Plans, Inc.a day ago
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OnsiteFull-timeEntry
Summary
Doctors HealthCare Plans, Inc. is seeking a Claims Specialist to join their team in Miami, FL. The role involves reviewing, processing, and resolving insurance claims to ensure timely and accurate payments.
About the Role
As a Claims Specialist, you will be responsible for evaluating and analyzing claims, checking for accuracy and compliance with policy terms, communicating with providers and members, and maintaining detailed claim records. You will collaborate with various departments to resolve discrepancies and ensure regulatory compliance.
About You
Required:
- Strong experience in Claims Management and Claims Handling.
- Proficient Analytical Skills for evaluating and resolving claims efficiently.
- Knowledge of Insurance processes and regulations.
- Excellent Communication skills for interactions with providers, members, and team members.
- Attention to detail and ability to maintain accurate and thorough records.
- Problem-solving abilities to manage and resolve claim discrepancies.
- High school diploma or equivalent.
Preferred:
- Knowledge of Medicare and healthcare regulations.
- Additional relevant certifications.
Doctors HealthCare Plans, Inc.
Welcome to Doctors HealthCare Plans! Doctors HealthCare Plans, Inc., is a Florida-based, locally owned health plan providing coverage in Miami-Dade and Broward Counties and specializing in Medicare. We have an extensive list of participating providers, hospitals and pharmacies. Whether you are a Doctors HealthCare Plans member or provider, all inquiries and requests are addressed by a friendly and local Team.
Miami, FL