Job Summary

A healthcare company needs applicants for an opening for a Telecommuting Senior Claim Benefit Specialist.

Core Responsibilities of this position include:

• Reviewing pre-specified claims or claims that exceed specialist adjudication authority or processing expertise
• Handling phone and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals
• Ensuring all compliance requirements are satisfied

Qualifications Include:

• Travel 0 - 10%
• 2+ years medical claim processing experience
• Experience in a production environment
• Demonstrated ability to handle multiple assignments competently, accurately and efficiently
• Associate's degree or equivalent experience
• Ability to maintain accuracy and production standards