Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $73,996.12 annually
- Opportunity for career advancement and growth within the organization
- Work/life balance with 17 days of personal time off, 12 holidays, and sick time
- 401 K savings + match
- Bonus eligibility and additional benefits

What to Expect (Job Responsibilities):
- Oversee mail room and clearinghouse partners to ensure appropriate claims processing
- Act as a back-up for claims processing and first level disputes
- Establish and maintain dispute and recovery processing rules
- Receive, research, and respond to provider claim related issues
- Coordinate receipt, tracking, and review of invoices related to claims or services

What is Required (Qualifications):
- High school diploma
- Minimum of five (5) years of medical/health experience
- Strong knowledge of Medicaid and Medicare claims processing guidelines
- Working knowledge of health plan insurance industry and relevant regulations
- Advanced in Excel

How to Stand Out (Preferred Qualifications):
- 0-2 years of experience as an Rx Technician or Customer Service Representative in a healthcare-related service

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