Medical Claims Processing • Claims Adjudication • Medical Coding • Call Centers • Claims Auditing
6 days ago
Medical Claims Processing • Claims Adjudication • Medical Coding • Call Centers • Claims Auditing
• Quality Control • Create testing strategy • Perform unit, integration, and end-to-end testing • Perform regular quality checks to ensure accuracy and completeness • Confirm all documents are correctly scanned, indexed, and stored • Report on quality performance and provide recommendations to remediate issues • Business Analysis • Gather, analyze, and document business requirements • Analyze data to inform business decisions • Identify, assess and solve problems, and recommend solutions • Applies business and product knowledge to address client requirements • Create and distribute pertinent information to project manager and management • Active participant in customer and internal calls • Identify areas for improvement to enhance efficiency and accuracy
• Education: Bachelor’s degree in information technology, business, or applicable work experience • 8+ years’ relevant experience • Experience working on large scale projects • Strong analytical and problem-solving skills • Well-organized with a strong attention to detail • Ability to work independently and collaboratively • Strong desire to understand and support the customer • Good communication and interpersonal skills • Experience with healthcare payers and other key stakeholders in the space • Preferred Qualifications: Experience with P2E (Paper to Electronic) processes • Experience working with software as a service (Saas) • Work across multiple time zones in remote work environment
Apply NowDecember 6, 2024
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