Job Summary
A healthcare company is in need of a Remote Managed Care Health Plan Claims Representative I and II.
Individual must be able to fulfill the following responsibilities:
- Respond to telephone and written inquiries
- Participate in claims workflow projects
- Initiate steps to assist callers regarding issues
Applicants must meet the following qualifications:
- Several years' experience in Facility and Professional Claims
- Experience in CMS Legalization
- Ability to reach/research a Medicare contract
- High school diploma