Convergent Inc, a company which specializes in health care reimbursements, and represents hospital systems all over the USA, has openings for a Claims Representative in its Problem Claims Department at their Boca Raton, FL offices. Convergent is a leading provider of Denial Management, Workers' Compensation claims resolution, and Problem Claims Solutions.
Claims representatives work a caseload of accounts and report directly to a Senior Attorney or Supervisor. Responsibilities include (but are not limited to): contacting insurance companies to appeal wrongfully denied or underpaid insurance claims, utilizing federal and state laws and statutes, settlement negotiations, identifying client issues, and maintaining a working knowledge of assigned clients, states, and insurers
Candidates should possess strong analytical, problem-solving, and conflict resolution skills. Candidates should also have excellent oral and written communication skills. Proficiency in Word and Excel is required. A degree in Healthcare Management/Administration, or experience in Healthcare reimbursement/collections is required. Hiring contingent on BackGround Check and Drug Screening.