Claims Liaison I

Job Summary

A company is looking for a Claims Liaison I Legal Research.

Key Responsibilities

• Pull evidentiary claims documents and research claims issues for pending litigation
• Collaborate with the claims department to ensure accurate claims pricing and resolve claims issues
• Document and track claims projects while analyzing trends in claims processing issues

Required Qualifications

• High school diploma or equivalent
• 3+ years of claims processing, provider billing, or provider relations experience, preferably in managed care
• Proficient in Excel
• CPC certification and knowledge of provider contracts/reimbursement interpretation preferred
• Experience with claims billing, coding, and pricing is a plus