Job Summary
A major healthcare company has an open position for a Remote Healthcare Claims Process and Policy Professional 2.
Must be able to:
- Perform claim analysis and summarize results with detail at the individual level and determine impacts
- Ensure the appropriate identification of root cause through established intake process
- Act as a claims subject matter expert
Applicants must meet the following qualifications:
- Successfully receive approval for government security clearance (eQIP Electronic Questionnaire for Investigation Processing)
- Bachelor's degree or if non-degreed must have at least 2 years of TRICARE claims processing experience
- 2 years of TRICARE claims processing experience
- Ability to learn a complex processing system
