[Hiring] Claims Specialist - Healthcare Insurance Professional @Greenlife Healthcare Staffing

Role Description

An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a Claims Specialist - Healthcare Insurance Professional role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred.

Key Responsibilities

• Review claims for accuracy and compliance.
• Assist with appeals and disputes.
• Interpret payer policies and communicate updates.
• Identify reimbursement trends and risks.
• Support the revenue cycle and compliance team.

Qualifications

• 2+ years of insurance company experience.
• Understanding of claims processing and payer guidelines.

Skills

• Strong analytical skills.
• Familiarity with healthcare reimbursement.
• Excellent communication abilities.

Benefits

• Competitive Compensation: $35.00/hour.
• Work Schedule: Full-time, Monday–Friday.
• Comprehensive benefits package.
• Professional Growth: Develop specialized expertise in healthcare reimbursement.
• Impactful Work: Optimize revenue integrity and financial outcomes.