2 results for Claims Processor Administrative And Customer Support in Miami, FL

Claims Associate

Sunrise, FL
onsite
Temporary
18.05 - 20.90 USD / Hourly
We are looking for a dedicated Claims Associate to join our team on a long-term contract basis in Sunrise, Florida. In this role, you will handle medical claims processing, member communications, and ensure compliance with industry standards. This position offers an opportunity to utilize your expertise in medical claims and billing while providing excellent customer service. Responsibilities: • Process new claims by setting them up, completing required forms, scanning documents, and ensuring all claims are accurately processed. • Communicate with healthcare providers to gather additional documentation needed for claim evaluations. • Assess coverage for submitted claims, verifying details through internal systems and attaching supporting documents. • Send clear and thorough correspondence to members explaining the claim adjudication process. • Provide empathetic and detail-oriented customer service, actively listening to member concerns. • Act as a subject matter expert on benefit coverage and product knowledge, assisting members with inquiries. • Maintain strict confidentiality and follow data security and authentication protocols when handling sensitive information. • Organize and prioritize tasks to meet established service standards and benchmarks. • Collaborate effectively in a fast-paced environment to ensure timely claim resolutions. • Ensure compliance with relevant policies, procedures, and regulations while managing member and payment information.
2026-02-23T20:13:42Z

Billing Clerk

Boca Raton, FL
onsite
Contract / Temporary to Hire
22.33 - 25.85 USD / Hourly
We are looking for a dedicated Billing Clerk to join our team in Boca Raton, Florida. This Contract to permanent position offers an excellent opportunity for growth and development in the service industry. The ideal candidate will handle billing tasks and assist with soft collections while maintaining accuracy and attention to detail. Responsibilities: • Prepare and process accurate invoices for clients in a timely manner. • Collaborate with the team to resolve discrepancies related to billing or payments. • Maintain organized records of all invoices and payment transactions. • Assist with soft collections by following up on outstanding payments. • Analyze billing data to identify trends or issues and implement solutions. • Ensure compliance with company policies and procedures during all billing activities. • Provide support and respond to inquiries regarding billing matters. • Utilize Microsoft Excel to manage and track billing-related information efficiently. • Adapt to flexible working hours after completing initial training. • Communicate effectively with internal and external stakeholders to ensure smooth operations.
2026-03-04T17:04:09Z