About this opportunity
Strategic Staffing Solutions lists this Claims Specialist opportunity in city of cedar rapids, Iowa. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Medical Claims Specialist II (COB & Medicare Coordination)
Remote Work
Pay:
$20/hr
5-Month Contract
We are seeking an experienced Medical Claims Specialist II with strong knowledge of medical claims processing and Coordination of Benefits (COB) . The ideal candidate will have experience determining the correct order of payment between Medicare and commercial insurance plans , researching claim discrepancies, and resolving payment issues while maintaining compliance with healthcare regulations.
Apply today if you have medical claims processing experience and a strong understanding of Coordination of Benefits (COB) and Medicare payment rules.
Ideal Candidate
We're looking for someone who has hands-on experience reviewing medical claims, applying COB rules, identifying primary versus secondary coverage, and working with Medicare and commercial insurance carriers to ensure accurate claim payments and recoveries.
Responsibilities
Process and review medical claims accurately and efficiently
Determine primary and secondary insurance coverage using COB guidelines
Research and resolve claim edits, denials, and payment discrepancies
Analyze and adjust previously processed claims as needed
Initiate recovery and refund processes for overpaid claims
Review and update COB records based on Medicare and commercial carrier rules
Communicate with members, providers, and insurance carriers to verify coverage information
Maintain accurate claim documentation and records
Ensure compliance with HIPAA, regulatory requirements, and company policies
Assist with special projects, audits, and process improvement initiatives
Required Qualifications
Medical claims processing and knowledge of how to determine primacy (order of payment) with Medicare and other commercial carriers.”
High School Diploma or equivalent
Minimum 2 years of medical claims processing experience
Experience determining insurance primacy and order of payment
Knowledge of Medicare and commercial insurance coordination rules
Strong analytical, investigative, and problem-solving skills
Excellent written and verbal communication abilities
Proficiency with claims processing systems and Microsoft Office applications
Ability to manage multiple priorities in a fast-paced environment
Preferred Qualifications
Coordination of Benefits (COB) processing experience
Experience adjusting claims and recovering overpayments
Healthcare payer or health insurance industry experience
Pay & Assignment Details
Pay Rate: $20.00 per hour
Duration: 5-Month Contract
Schedule: Full-Time
Location: Fully Remote
Eligible States
Candidates must reside in one of the following approved states:
Alabama, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Mississippi, Missouri, New Hampshire, Nebraska, North Carolina, Oklahoma, Pennsylvania (excluding Allegheny, Bucks, Chester, Delaware, Montgomery, and Philadelphia counties), South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, or West Virginia.
Ideal Candidate
We're looking for someone who has hands-on experience reviewing medical claims, applying COB rules, identifying primary versus secondary coverage, and working with Medicare and commercial insurance carriers to ensure accurate claim payments and recoveries.
Worksite address
city of cedar rapids, IA, 52404, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.