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Job Description
- Req#: J264661
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $35.18 per hour
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on claims processing and compliance
- Comprehensive training provided for operational staff
What to Expect (Job Responsibilities):
- Ensure accurate and efficient processing of adjustments and duplicate claims through audit sampling reviews
- Develop management reports detailing findings and trend analyses
- Monitor and train quality and operational staff on processes
- Identify potential fraudulent activities related to claims processing and address compliance deficiencies
- Generate reports detailing findings and recommend process enhancements
What is Required (Qualifications):
- High School Diploma or GED
- 3-5 years of relevant experience in claims processing or quality assurance
- Experience with Microsoft Office products
- Detailed understanding of claims and inquiry processing arrangements and performance standards
- Strong verbal and written communication skills, along with analytical and problem-solving abilities
How to Stand Out (Preferred Qualifications):
- Bachelor's Degree in a related field
- Proficiency with reporting and analytical software tools
- Knowledge of medical terminology and company-related benefits and policies
- Experience in a healthcare environment
#HealthcareServices #ClaimsProcessing #CareerOpportunity #CompetitivePay #TrainingProvided
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