Remote Healthcare Insurance Claims Operations Specialist

Job is Expired

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Mon, Mar 15, 2021

Job Category: Insurance

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

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

COMPLETE JOB DESCRIPTION

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