1 jobs found in Coral Gables

Job Description About us: PayerFusion is a healthcare administrative solutions provider that offers health insurers and self-funded employers throughout the US and worldwide with innovative, cost-effective ways to process medical claims, maintain high customer satisfaction levels, and manage healthcare expenses. The Opportunity: PayerFusion is looking for an experienced Claims Examiner-Claims Processor to join our dynamic team. The successful candidate will help streamline our claims process and improve customer satisfaction. This is a great opportunity for an individual who enjoys working in a fast-paced, team-oriented environment. Job Responsibilities: Analyze and process claims in accordance with our clients’ policies and procedures. Identify and investigate inconsistent or fraudulent claims. Liaise with healthcare providers and policyholders regarding claims processing issues. Perform regular quality audits on completed claims. Document claim process and...