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Job Description
- Req#: 5001168434906
**Employer Industry: Healthcare Services**
**Why Consider this Job Opportunity:**
- Opportunity for career advancement and growth within the organization
- Work in a collaborative environment focused on continuous improvement
- Engage in meaningful work that directly impacts the payment dispute process
- Supportive workplace that encourages creative solutions to complex challenges
- Comprehensive benefits package including health, dental, and retirement options
**What to Expect (Job Responsibilities):**
- Review, analyze, and disposition payment cases with over 95% accuracy monthly
- Investigate and provide root cause analysis updates for payment disputes
- Communicate effectively with team leaders and management regarding escalated issues
- Deliver presentations clearly and engage with stakeholders on complex scenarios
- Monitor deliverables to ensure timely completion of assigned cases
**What is Required (Qualifications):**
- Bachelor's Degree or equivalent experience, or 4 years of relevant experience in lieu of a degree
- Minimum of 2 years of experience in the healthcare industry
- Must be a U.S. Citizen
- Exceptional verbal and written communication skills
- Strong organizational skills and attention to detail
**How to Stand Out (Preferred Qualifications):**
- 1 year of experience with X12 transactions
- Familiarity with federal data or projects related to agencies such as CMS or IRS
- Knowledge of the Affordable Care Act
- Experience in project management and federal contracts
- Proficient in Microsoft Office Suite and SQL queries
#HealthcareServices #CareerOpportunity #ContinuousImprovement #HealthCareIndustry #ProjectManagement
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