Claims Specialist Job at Infojini Inc, Farmington, CT

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  • Infojini Inc
  • Farmington, CT

Job Description

Job Title: Hospital Claims Specialist (Hybrid role)

Location: Farmington, CT 06032

Type: 06 Months contract with possible extension

Shift: 1st shift (Monday to Friday)

Job description:

  • 3+ years of Hospital (HB) claims follow up & denials resolution experience – Commercial, Managed Medicare & Government.
  • EPIC system knowledge. Minimum years of experience : 2 years
  • Able to investigate denied or rejected claims and take appropriate actions to resubmit.
  • Able to submit reconsiderations and appeals.
  • Knowledge of hospital claims adjudication & denials codes.
  • Strong knowledge of medical terminology, Revenue codes, CPT/HCPCS codes, and insurance policies.
  • Knowledge of payor under and over payments.
  • Strong analytical & research skills.
  • Knowledge of Microsoft 365 office suite software – especially Excel and Word.
  • Ability to schedule and prioritize workflow.
  • Ability to read and interpret complex instructions.
  • Ability to work independently and manage multiple tasks efficiently.
  • Ability to spot trends, able to prepare reports by collecting, analyzing, and summarizing information

Job Tags

Contract work, Work at office, Shift work, Day shift, Monday to Friday,

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