Quality Health Management (QHM) is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.S. as well as patients seeking care globally outside of their country of origin. We are currently recruiting for a Claims Clerk.
Responsibilities
Answer, screen and transfer inbound phone calls
Provide general claims support by completing outgoing/incoming requests for additional claim supporting documentation (medical records, itemized bills, corrected claims etc.)
Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
Work claims files to ensure the appropriate eligibility and provider records are matched
Updates and maintains database as requested
Scan, rename and attach documents
Assist on different projects as instructed
Qualifications and Skills
High School or equivalent
1+ years of experience in customer service
Excellent attention to detail and accuracy
Familiarity with insurance and medical terminology
Strong communication and interpersonal skills
Ability to work independently and as part of a team
\nCompany Description
Quality Health Management (QHM) is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.S. as well as patients seeking care globally outside of their country of origin.
QHM delivers highly personalized health management on each and every case. Our service includes:
Extensive worldwide network of providers Efficient claims service and custom claims re-pricing Experienced medical case management Superior account management and 24 hour member service Specialty care services including solid organ/bone marrow transplantation, oncology risk management and pharmacy benefits
Company Description
Quality Health Management (QHM) is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.S. as well as patients seeking care globally outside of their country of origin.\r\n\r\nQHM delivers highly personalized health management on each and every case. Our service includes:\r\n\r\nExtensive worldwide network of providers\r\nEfficient claims service and custom claims re-pricing\r\nExperienced medical case management\r\nSuperior account management and 24 hour member service\r\nSpecialty care services including solid organ/bone marrow transplantation, oncology risk management and pharmacy benefits
Numbers & Facts
Location
Miami Lakes, FL
Skills
Billing Recordsunmatched
Case Managementunmatched
Communication Skillsunmatched
Compensation and Benefitsunmatched
Cost Controlunmatched
Customer Support/Serviceunmatched
Data Entryunmatched
Database Administrationunmatched
Detail Orientedunmatched
Documentationunmatched
High School Diplomaunmatched
Insuranceunmatched
Interpersonal Skillsunmatched
Medical Recordsunmatched
Medical Terminologyunmatched
Oncologyunmatched
Patient Careunmatched
Pricingunmatched
Quality Managementunmatched
Reporting Skillsunmatched
Risk Managementunmatched
Sales Managementunmatched
Team Playerunmatched
Training/Teachingunmatched
Trend Analysisunmatched
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