Hiring: Specialist, Health Claims Company: Carnival Corporation Location: Miami, FL Job Posted Time: 2026-09-10 11:38:25 Target Skills & Keywords : Medical Billing, Microsoft Excel About the job Experience: •2+ years of experience in healthcare finance, claims processing, medical billing, AP, or related field. Required Skills: •MANAGEMENT OF CLAIMS •Manage high-cost and complex medical claims, ensuring timely cost recording and closure. •Appropriately identify and escalate high-cost or complex cases to Management. •Oversee the complete inventory of claims, including monitoring and reporting open, pending and close claims. •Track claim aging and follow up on unresolved invoices to ensure timely closure. •Coordinate with providers, insurance, and third-party administrators regarding the invoice status and documentation. •Monitor claim reserves and update financial projections as needed. •Investigate claim discrepancies, overpayments and appeals. Qualifications: •Scope: The Specialist, Health Claims must demonstrate a solid understanding of health claims processes, accounts payable workflows, and financial documentation standards. The role requires familiarity with medical billing terminology, contracted rate structures, vendor payment requirements, and internal financial controls. •Knowledge: Understanding of workplace policies and procedures / Familiarity with team collaboration tools and techniques. •Abilities: Ability to maintain reliable and consistent attendance / Capacity to be punctual and meet deadlines / Ability to collaborate effectively with colleagues and work as part of a team / Demonstrated professionalism in all interactions and tasks. •Bachelor’s degree in Business, Finance, Accounting, or Healthcare Administration. •Certified Professional Biller (CPB) or similar medical billing and coding credential (e.g., CMRS, CBCS) preferred. •Certification demonstrates competency in medical billing compliance, claims processing, reimbursement methodologies, and payer requirements. Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!