Job is Expired
Location: Alabama, Arkansas, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, West Virginia, Wisconsin
Compensation: To Be Discussed
Staff Reviewed: Wed, Jun 17, 2020
Job Summary
A healthcare company needs applicants for an opening for a Remote Health Insurance Client Contract Modeler.
Candidates will be responsible for the following:
- Reading, interpreting and evaluating hospital contracts with Insurance Companies
- Performing necessary contract link maintenance, updates and modifications
- Executing rules testing to verify accuracy of written contract rules
Position Requirements Include:
- High school diploma or GED
- At least 3 years of related experience in physician's reimbursement or Health Insurance
- Knowledge of Medicare/Medicaid and Medicare/Medicaid HMO
- Basic Excel skills including data sorting/filtering, data validation, etc
- Strong insurance company/physicians contract experience
- Ability to prioritize workload and flexibility to work on several projects at one time
