Claims Specialist

Infinity Behavioral is hiring a claims specialist to resolve unpaid claims and manage client accounts receivable.

Ft. Lauderdale, FL

Job Title: Claims Specialist
Department: Claims
Division: Operations
Reports to: Claims Supervisor
Location: Ft. Lauderdale, FL
FLSA Status: Non-exempt

General Summary of Duties:

Works to resolve unpaid claims and manages client accounts receivable by contacting insurance companies and fixing billing errors by performing the following duties.

Typical Physical/Mental Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requires mobility. Requires prolonged sitting. Eye/hand coordination and manual dexterity. Ability to distinguish letters, symbols, and colors. Ability to push and/or pull office equipment weighing five to fifteen pounds. The employee is frequently required to talk or hear.

Working Conditions:

Work is performed in an office environment. Ability to tolerate varying conditions of noise level, temperature, illumination, and air quality is required.

Primary Responsibilities:

  • Posts client payments
  • Resolves rejected claims issues
  • Calls on client aging report, generates list of problems, and ensures they are collected
  • Performs other duties as assigned

Qualifications and Education Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

To perform this job successfully, an individual should have knowledge of word processing software; spreadsheet software; internet software and database software.

Education Requirement:

Associate’s degree (A.A./A.S.) or equivalent from two-year college or technical school; or one to two years related experience and/or training; or equivalent combination of education and experience.

Preferred Skills:

Previous industry experience and collections experience is preferred.