Operations Specialist III

Location: Remote
Compensation: Hourly
Staff Reviewed: Wed, May 08, 2024
This job expires in: 9 days

Job Summary

A company is looking for an Operations Specialist III.

Key Responsibilities:
  • Regulatory reporting such as CMS and Medicaid Prompt Pay
  • Serve as high dollar claims reviewer
  • Lead Claims initiatives and assist in development of policies and procedures

Required Qualifications:
  • Bachelor's degree or equivalent relevant work experience
  • Minimum of five years of healthcare claims environment experience
  • Advanced knowledge of coding and billing processes
  • Experience in data analysis and trending
  • Experience in working with accumulators

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