||PFITECH is looking for Healthcare - Insurance Liability and Recovery at Quincy, MA, 6 months (contract to hire). Please have a look at the requirement and let me know if you are interested.
• High school diploma or equivalent required.
• Minimum 1-2 years of COB / Medicare Claims Experience and 2-3 years medical claims examining experience, or equivalent of the two
• Must be familiar with coordination of benefits processes and related regulatory requirements with MEDICARE/MEDICAID.
• Knowledge of ICD9-CM, HCPCS level II and III, CPT, and revenue Codes, DRG and APC coding a plus
• Ability to deal with complex claim issues
• Knowledge of HMO, PPO Medicare and Medicaid plans, as well as experience with Medicare Part D
• Advanced proficiency in Microsoft Word and Excel; Access knowledge a plus
• Minimum typing speed of 45 WPM and use of Ten-Key by touch
• Knowledge of Medical terminology