Job Summary
A non-profit health insurance company is searching for a person to fill their position for a Remote Healthcare Insurance Claims Operations Specialist.
Core Responsibilities of this position include:
- Providing regulatory reporting
- Serving as high dollar claims reviewer
- Identifying payment integrity issues with claims reimbursement methodologies
Position Requirements Include:
- Bachelor’s degree or equivalent years of relevant work experience
- 5 years of healthcare claims environment or professional industry experience
- Advanced proficiency level experience in Microsoft Word, Excel and PowerPoint
- Data analysis and trending skills
- Understanding of claims operations specifically related to managed care
- Advanced knowledge of coding and billing processes
