Pennsylvania Licensed Claims Specialist

Job Summary

A company is looking for a Claim Edit and Vendor Integrity Specialist.

Key Responsibilities

• Apply coding knowledge to maintain and develop claim edits and partnerships
• Coordinate and resolve vendor needs while leading internal meetings and initiatives
• Research and clarify coding issues, and mentor less experienced staff

Required Qualifications

• High School Diploma or Equivalent (GED) required; Graduate from Specialty Training Program preferred
• Minimum of 5 years of related work experience required
• Minimum of 5 years in Health Insurance/Managed Care preferred
• Certified Professional Coder (CPC) through AAPC required
• Certified Professional Biller through AAPC required