Job Summary
A global healthcare company is seeking a Remote Healthcare LHI Senior Claims Resolution Specialist.
Individual must be able to fulfill the following responsibilities:
- Maintain an ongoing responsibility for assigned claims inquiries which entails assessment, education and coordination for members / health care providers
- Manage inbound and outbound calls from providers and members to resolve claims issues
- Request and manage medical records to help determine potential program coverage
Qualifications for this position include:
- High School Diploma / GED (or higher)
- One of the following: 3+ years of experience working with health insurance claims
- OR Medical coding/medical claims processing experience
- OR Similar background/experience in healthcare (CMA, MA, etc)
- Full COVID-19 vaccination is an essential requirement of this role
