Health Claims Stop Loss Specialist
A company is looking for a Health Claims Stop Loss Specialist.
Key Responsibilities
Prepare Stop Loss claims and determine filing eligibility for the Excess Loss Policy
Process submissions of spec claimants and coordinate Advanced Funding Requests with clients and carriers
Maintain a database of reimbursement requests and generate reports on outstanding reimbursements
Required Qualifications
High school diploma or GED required
Minimum three (3) years of related experience or equivalent combination of education and experience
Completion of training programs through HIPAA, ICA, and/or LOMA preferred
Knowledge of medical terminology, CPT, HCPCS, and ICD-10 codes
Computer literate with knowledge of Microsoft Office applications
A company is looking for a Health Claims Stop Loss Specialist.
Key Responsibilities
Prepare Stop Loss claims and determine filing eligibility for the Excess Loss Policy
Process submissions of spec claimants and coordinate Advanced Funding Requests with clients and carriers
Maintain a database of reimbursement requests and generate reports on outstanding reimbursements
Required Qualifications
High school diploma or GED required
Minimum three (3) years of related experience or equivalent combination of education and experience
Completion of training programs through HIPAA, ICA, and/or LOMA preferred
Knowledge of medical terminology, CPT, HCPCS, and ICD-10 codes
Computer literate with knowledge of Microsoft Office applications