Claims Liaison

Job Summary

A company is looking for a Claims Liaison II to serve as the claims payment expert and liaison between various departments.

Key Responsibilities

• Analyze trends in claims processing issues and identify work process solutions
• Lead meetings with departments to prioritize claim projects and monitor progress
• Collaborate with various business units to resolve claims issues and ensure accurate adjudication

Required Qualifications

• High school diploma or equivalent
• 5+ years of claims processing, provider billing, or provider relations experience
• Experience in a managed care environment preferred
• Knowledge of provider contracts and reimbursement interpretation preferred
• Ability to prioritize work and handle issue resolution in a timely manner