The Medical Claims Examiner 2 is responsible for the validation of services rendered to Vitas patients via billed data submitted on claims and invoices. Applies contracted negotiated financial arrangements for each service billed for contracted providers and vendors and apply general claims/invoice processing procedures and guidelines for each service billed. Validates patient benefits, limitations and exclusions in relation to the hospice plan of care and services billed. Must be able to work Monday through Friday 7:30am- 4:30pm in our Corporate Miramar, Florida office. Hybrid schedule
QUALIFICATIONS Qualified candidates must have a minimum of two years experience as a claim processor in the health insurance environment preferred. Working knowledge of medical terminology, claims processing procedures, and accounts payable process.
EDUCATION Two year college degree preferred.
SPECIAL INSTRUCTIONS TO CANDIDATES EOE/AA M/F/D/V
VITAS® Healthcare is the nations leading provider of end-of-life care, and has the resources and expertise to support your personal and professional growth. As a member of the VITAS team, youll find fulfillment working for a people-focused organization dedicated to making a difference in the lives of others. You will be more than just an employee: You will be counted on as an expert in your field, and as a valued team member whose efforts are respected and vital to our hospice mission.
All VITAS employees commit to fulfilling their duties and responsibilities with the highest regard for professionalism, collaboration and teamwork, and an eye focused constantly on growth and improvement. We serve with commitment and compassion, and position ourselves for the future by embracing, innovating, and leading change. If you are that person, make your voice heard-find your purpose at VITAS today.
Benefits Include:
Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends.
Choose a Career with VITAS
VITAS Healthcare®, a pioneer and leader in the hospice movement since 1978, is the nation’s largest provider of end-of-life care. Our name is derived from the Latin word for “lives” and symbolizes the VITAS mission: to preserve the quality of life for those who have a limited time to live.
Headquartered in Miami, Florida, VITAS operates hospice programs in 15 states and the District of Columbia. VITAS has enjoyed dynamic growth since its founding as a volunteer organization by a United Methodist minister and an oncology nurse. Today, VITAS employs 11,773 professionals who care for terminally ill patients daily-primarily in the patients’ homes, and also in the company’s inpatient hospice units as well as in hospitals, nursing homes and assisted living communities/residential care facilities. VITAS team members include registered nurses, licensed practical nurses, home health aides, physicians, social workers, chaplains and other caregiving professionals.