Claims Processing Clerk jobs in Florida

Claims Processing Clerk receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk typically reports to a supervisor. The Claims Processing Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Claims Processing Clerk
  • Praesum Healthcare
  • Worth, FL FULL_TIME
  • Praesum Healthcare:
    Position Title: Claims Processing Clerk

    Founded in 2003, Praesum Healthcare provides administrative services for healthcare providers in key geographical locations throughout the Northeast, mid-Atlantic, and Southeast regions. Praesum is an established leader in the healthcare industry. With a solid, growth-focused business model, strong finances, and expert management team, Praesum will continue to grow in the years to come. Praesum currently provides services to behavioral health facilities providing all levels of care from inpatient psychiatric and substance abuse detoxification, through SUD and mental health outpatient clinics.



    Claims Processing Clerk Job Description:
    The Claims Processing Clerk will review and audit patient medical records and assign codes to diagnoses and procedures performed by service providers. This position will prepare all billing forms to send to 3rd party biller for timely insurance claim submission. This position will ensure accuracy encompassing billing, coding and insurance requirements, in addition to state and federal laws surrounding Protected Health Information (PHI) and HIPPA, 42CFR, Part 2.

    Claims Processing Clerk Duties/Responsibilities:
    • Review and audit medical records for accuracy in billing, coding and insurance requirements
    • Organize and manage patients' health information data
    • Prepares daily charges and claims to be submitted electronically to clearing house and insurance carriers
    • Accounts Receivable follow up with insurance carriers
    • Claim denial management with electronic clearing house
    • Utilizes 3 different code sets: CPT, HCPCS, and ICD-10 for appropriate billing to insurance carriers
    • Release information to persons and agencies according to state and federal regulations
    • Possess the ability to critically analyze documentation, assigning proper codes.

    Claims Processing Clerk Requirements:
    • High School Diploma or GED equivalent required, AA Degree or Vocational training preferred
    • A minimum of 2 years of office or related healthcare industry experience
    • Working knowledge of Microsoft Office applications

    Claims Processing Clerk Schedule:
    • Full Time
    • Monday - Friday

    Claims Processing Clerk Compensation:
    • Hourly rate competitive with experience and location

    Full time employees may be eligible for the following:
    • Insurance: Medical, Dental, Vision, and STD options
    • Medical FSA and Dependent Care Account
    • 401k with company match up to 5%
    • Accrued PTO Plan
    • Education reimbursement
    • Career Advancement Opportunities

    *** This job does NOT sponsor visa's and we are unable to consider out of country applicants ***

    If you are interested in this opportunity or know someone that you respect who would be a good fit for this position, please email:
    Clay - Clay@praesumhealthcare.com
    James - James@praesumhealthcare.com

    #IND123
  • 16 Days Ago

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Processing Clerk II
  • Clerk of the Circuit Court and County Comptroller
  • Sarasota, FL FULL_TIME
  • Join the Team We are seeking motivated candidates to perform a complete range of essential administrative duties for the Court Processing division. The ideal candidate requires diligence for analytica...
  • 13 Days Ago

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Document Processing Clerk I
  • Seminole County Clerk of the Circuit Court and...
  • Sanford, FL FULL_TIME
  • JOB Under the direction of the Document Processing Team Leader, the Deputy Clerk I is responsible for scanning documents into the system for input, verifying court documents, processing follow up work...
  • 1 Month Ago

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Billing/Data Entry Clerk
  • Claims and Risk Management Services
  • Miami, FL FULL_TIME
  • Data entry operator responsibilities include collecting and entering data in databases and maintaining accurate records of valuable company information. Our ideal candidate has essential data entry sk...
  • 20 Days Ago

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Quality Manager, Claims Processing
  • ImageNetLLC
  • Tampa, FL FULL_TIME
  • Imagenet, LLC is seeking an experienced Quality Manager, Claims Processing to join our team. In this role, you will be responsible for overseeing the performance and quality of our claims processing d...
  • 20 Days Ago

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Claims Processing Representative
  • Humana
  • UNKNOWN, FL FULL_TIME
  • Become a part of our caring community and help us put health first The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronica...
  • 3 Days Ago

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Claims Processing Specialist
  • Praesum Healthcare
  • Lake Worth, FL
  • Job Description Job Description Praesum Healthcare: Position Title: Claims Processing Specialist Founded in 2003, Praesu...
  • 3/28/2024 12:00:00 AM

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Medical Biller
  • Mitchell Martin Inc.
  • Nashville, TN
  • Our Client, a nonprofit medical corporation is seeking a Medical Billing Clerk. Location: Hybrid, Nashville, TN Position...
  • 3/28/2024 12:00:00 AM

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Service Coordinator
  • Kavaliro
  • Waipahu, HI
  • JOB DESCRIPTION Job Title:Service Coordinator Reports to:Regional Service Manager FLSA Status:Non-exempt Division:HPC De...
  • 3/28/2024 12:00:00 AM

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Front End Mgr $18.00/hr-$24.50/hr
  • Vallarta Supermarkets
  • National City, CA
  • Description: California Minimum Wage is $16.00/hr effective 1/1/2024 Some Cities have higher Minimum Wages (LA City curr...
  • 3/28/2024 12:00:00 AM

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Maintenance Clerk $16.00/hr-$17.05/hr
  • Vallarta Supermarkets
  • Baldwin Park, CA
  • Description: California Minimum Wage is $16.00/hr effective 1/1/2024 Some Cities have higher Minimum Wages (LA City curr...
  • 3/28/2024 12:00:00 AM

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Service Clerk/Writer
  • Blanchard Equipment Company, Inc
  • Saint George, SC
  • Position Specifics: Department: Service Reports to: Service Manager or Service Location Manager Supervises: None Purpose...
  • 3/28/2024 12:00:00 AM

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Accounts Payable Clerk
  • Acadia Healthcare
  • Chicago, IL
  • ESSENTIAL FUNCTIONS: •Perform accounting activities such as routine calculations, payroll calculations and record keepin...
  • 3/28/2024 12:00:00 AM

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General Clerk
  • Ladgov Corporation
  • Rochester, NY
  • Position Title: General Clerk Job Description: We are seeking a highly organized and detail-oriented individual to join ...
  • 3/28/2024 12:00:00 AM

Florida (/ˈflɒrɪdə/ (listen); Spanish for "land of flowers") is the southernmost contiguous state in the United States. The state is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Atlantic Ocean, and to the south by the Straits of Florida. Florida is the 22nd-most extensive (65,755 sq mi or 170,300 km2), the 3rd-most populous (21,312,211 inhabitants), and the 8th-most densely populated (384.3/sq mi or 148.4/km2) of the U.S. states. Jacksonville is the most populous municipality in the state and the largest city by area in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk jobs
$35,735 to $43,213