Operations Specialist III

Job Summary

An organization is looking for an Operations Specialist III.

Key Responsibilities:

• Provide analytical support and leadership for payment integrity projects
• Review and validate regulatory requirements
• Act as a liaison between vendors and audits

Required Qualifications:

• Bachelor's degree or equivalent work experience required
• Minimum of five years of healthcare claims environment or managed care experience
• Advanced proficiency in Microsoft Word, Excel, and PowerPoint
• Knowledge of coding and billing processes
• Prefer certified coder