Job Summary
A health insurance company is seeking a Telecommute Provider Reimburse Administrator.
Individual must be able to fulfill the following responsibilities:
- Respond to system inquiries and appeals
- Create queries using SQL and/or ACCESS to validate provider, configuration, and claims data
- Conduct research of claims systems and system edits to identify issues
Position Requirements Include:
- BA/BS degree; 2-3 years related experience; or any combination of education and experience
- Ability to perform CPT/HCPCS code and fee schedule updates
- Ability to create test claims and perform reviews of claims