Claims Specialist III

A company is looking for a Claims Specialist III (Facets Claims). Key Responsibilities Resolve complex COB issues and adjust claims accurately and timely Identify and implement process improvements in collaboration with peers Act as a technical resource for training and assist providers with inquiries Required Qualifications, Training, and Education High School Diploma or equivalent is required Minimum of one (1) year of experience in a claims environment or related healthcare operations Previous experience in an HMO or related industry preferred Facets claims processing experience strongly preferred Previous Medicare/Medicaid dual eligible claims experience is preferred

Mar 24, 2025 - 22:46

A company is looking for a Claims Specialist III (Facets Claims). Key Responsibilities Resolve complex COB issues and adjust claims accurately and timely Identify and implement process improvements in collaboration with peers Act as a technical resource for training and assist providers with inquiries Required Qualifications, Training, and Education High School Diploma or equivalent is required Minimum of one (1) year of experience in a claims environment or related healthcare operations Previous experience in an HMO or related industry preferred Facets claims processing experience strongly preferred Previous Medicare/Medicaid dual eligible claims experience is preferred