Claims Specialist Temp- FlexStaff - Northwell Health : Job Details

Flexstaff is hiring a CLAIMS SPECIALIS - Ton a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight activities to ensure compliance with all applicable State, Federal, and contractual guidelines. Location: Wallerstein, NY Pay Rate: $28/hr Schedule: Monday-Friday 8:30 am-5:30 pm (1 hour lunch) (FT), Hybrid Wednesday and Friday in the office. JOB DESCRIPTION Analyzes patient and medical information to identify COB, Worker's Compensation, No-Fault, and Subrogation conditions Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor. Attends JOC meetings with providers as appropriate to assist in communicating proper billing procedures and to explain company coverage guidelines Assists TPA with provider compensation configuration by creating and testing compensation grids used for re...Claims Specialist, Claims, Staff, Specialist, Processing, Insurance, Healthcare