Full-Time
Claims Analyst 3
Integrated Resources
501-1,000 employees
No salary listed
Doral, FL, USA
In Person
 Accounting (1) |
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- 1-2 years of experience in claims processing with professionals or hospitals
- Proficiency in Microsoft Excel (intermediate to advanced, including pivot tables and V-lookup)
- Attention to detail
- Strong written communication skills
- Claims background
- Knowledge of billing guidelines
- Knowledge of contract interpretation
- Knowledge of billing/coding - CPT and ICD-10
- Review of claims that have already been processed by the system and handled by this department which deals with claim provider complaints.
- Identify root causes of issues with previously processed claims and determine necessary corrections.
- Provide feedback to providers based on root cause analysis.
- Utilize Microsoft Excel heavily in performing tasks related to claims analysis.
Company Size
501-1,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Edison, New Jersey
Founded
1996
Simplify's Take
What believers are saying
- Certification boosts appeal to quality-focused healthcare organizations.
- Reskilling programs cut time-to-hire amid workforce shortages.
- Positions IRI among 15,000 Joint Commission-accredited elite firms.
What critics are saying
- Certification lapses in 12-18 months from failed onsite review.
- Patient complaints trigger decertification and client losses in 6-12 months.
- AMN Healthcare captures IRI's mid-sized clients in 12-24 months.
What makes Integrated Resources unique
- Joint Commission Gold Seal certifies IRI's staffing compliance since 2009.
- AI tool Nova hybridizes with reskilling to close healthcare skills gaps.
- Focuses on diversity hiring and performance monitoring for elite placements.
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Benefits
Wellness Program
Mental Health Support
Flexible Work Hours
Phone/Internet Stipend
Home Office Stipend
Conference Attendance Budget
Company News
Edison, New Jersey - Integrated Resources Inc. has earned The Joint Commission's Gold Seal of Approval(R) for Health Care Staffing Services Certification by demonstrating continuous compliance with its performance standards.
Integrated Resources Inc. has earned The Joint Commission’s Gold Seal of Approval ® for Health Care Staffing Services Certification by demonstrating continuous compliance with its performance standards.