Healthcare Claims Specialist
A company is looking for a Claims Specialist (Healthcare). Key Responsibilities Oversee the entire claims process ensuring accuracy, quality, and timeliness for all healthcare claims Conduct training for the global team on claims processing and manage complex issues/claims Monitor and report on client response files and claims process, ensuring all parties are updated on program status Required Qualifications 5+ years of work experience in healthcare claims processing with in-depth experience with payor systems Strong knowledge of healthcare data and processes Subject Matter Expert (SME) on healthcare claims payment methodologies Ability to identify and resolve issues related to claims processing Demonstrated ability to implement process improvements for efficiency
A company is looking for a Claims Specialist (Healthcare).
Key Responsibilities
Oversee the entire claims process ensuring accuracy, quality, and timeliness for all healthcare claims
Conduct training for the global team on claims processing and manage complex issues/claims
Monitor and report on client response files and claims process, ensuring all parties are updated on program status
Required Qualifications
5+ years of work experience in healthcare claims processing with in-depth experience with payor systems
Strong knowledge of healthcare data and processes
Subject Matter Expert (SME) on healthcare claims payment methodologies
Ability to identify and resolve issues related to claims processing
Demonstrated ability to implement process improvements for efficiency
