Claims Specialist

Location: Remote

Compensation: To Be Discussed

Staff Reviewed: Fri, Aug 30, 2024

This job expires in: 22 days

Job Category: Insurance

Weekly Hours: Full Time

Career Level: Experienced

Job Summary

A company is looking for a Medical Claims Specialist.

Key Responsibilities:

Process claims and adjustments related to projects or provider disputes
Research and resolve complex claims issues and collaborate with other departments
Act as a subject matter expert on departmental and corporate projects

Required Qualifications:

High school diploma or equivalent
5+ years of experience in claims processing commercial and Medicare claims
3+ years of experience in researching and resolving operational issues
EZ-CAP software experience is highly preferred
Previous visibility into Medicare and Medicare Advantage programs is highly preferred

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