Medical Claims Associate

Aston CarterFort Lauderdale, FL
Onsite

About The Position

We are seeking a diligent and detail-oriented Claims Associate to join our team. This role involves entering claims data, providing excellent customer service, and managing documentation. As a secondary insurance provider, you will be responsible for entering information on 10-15 claims per day, which will then be routed to our licensed adjusters for processing.

Requirements

  • Experience in medical claims (excluding PIP).
  • Familiarity with primary insurance Explanation of Benefits (EOBs) and related CPT coding and processing.
  • Proficiency in Health Insurance Claim Forms (HCFA or CMS-1500).

Nice To Haves

  • Experience in medical insurance company claims departments, doctor's office billing, or third-party administration.

Responsibilities

  • Perform data entry for claims.
  • Provide customer service to clients.
  • Manage and maintain accurate documentation.
  • Enter information on 10-15 claims daily, focusing on balances not covered by primary insurance.

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)
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