Plantation, FL, 33388, USA
7 days ago
Medical Claims
Description We are looking for an experienced Medical Claims Analyst to join our team in Plantation, Florida. This contract position offers an exciting opportunity to work within the insurance industry, focusing on claims processing, auditing, and billing functions. The ideal candidate will possess strong technical expertise in healthcare claims systems and a commitment to accuracy and efficiency. Responsibilities: • Analyze and process medical claims using platforms such as Allscripts and Cerner Technologies. • Perform audits to ensure compliance with policies and regulatory standards. • Address appeals and resolve discrepancies in claim submissions. • Coordinate benefit functions and verify coverage details for accurate claim administration. • Utilize CL Programming and CMS platforms to manage and update claim data. • Collaborate with billing teams to ensure timely and accurate payment processing. • Provide detailed documentation and reporting on claim activities. • Investigate complex claims issues and recommend solutions. • Ensure claims processes align with organizational objectives and industry best practices. Requirements • Proven experience with Allscripts and Cerner Technologies. • Proficiency in CL Programming and familiarity with CMS platforms. • Strong knowledge of medical billing, auditing, and appeals processes. • Excellent analytical and problem-solving skills. • Ability to manage multiple tasks and deadlines effectively. • Familiarity with benefit and claim administration functions. • Strong communication skills for collaboration with cross-functional teams. • Attention to detail and commitment to producing accurate results. Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
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