Remote Medical Policy Claims Specialist

Job Summary

A privately-held staffing company is searching for a person to fill their position for a Remote Medical Policy Claims Specialist.

Must be able to:

• Function as a liaison to service vendors and business partners to align service delivery
• Assist with the management of the Claim Processing Team by handling escalated claims processing
• Participate in the implementation and management of claim operational strategies, policies, workflow processes

Applicants must meet the following qualifications:

• Minimum of 5 years of health insurance experience including fully insured experience
• High School Diploma
• Medical Terminology
• Medical Office Experience
• Experience working in a fast paced team environment
• Proficient in Microsoft Office Suite of Tools.