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Medicaid Senior Claims Analyst
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Job Description
- Req#: SENIO002169
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely or in a hybrid model from the comfort of your home or at the employer's office
- Supportive and collaborative work environment
- Chance to make a positive impact on customer satisfaction and operational efficiency
- Involvement in training and development of new staff members
What to Expect (Job Responsibilities):
- Manage complex claim adjudication and resolve customer issues and inquiries
- Assist in the training of new staff members and document processes
- Run reports to retrieve processing information from the claims processing system
- Identify and troubleshoot claims issues while working with senior management on system limitations
- Monitor suspended claims reports to ensure established time frames are met
What is Required (Qualifications):
- Minimum educational requirement: High School Diploma or equivalency
- 3-5 years of experience in claims processing
- Knowledge of current procedural terminology (CPT) and international classification of diseases (ICD-10)
- Strong oral and written communication skills with a commitment to excellent customer service
- Ability to work independently and as part of a team in a fast-paced environment
How to Stand Out (Preferred Qualifications):
- Additional coursework in Medical Terminology/Advanced Medical Terminology
- Knowledge of Federal and State mandates and regulations related to claims and coding
#HealthcareServices #ClaimsProcessing #RemoteWork #CareerOpportunity #EqualOpportunityEmployer
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