
Healthcare Claims Resolution Specialist
3 days ago
We are seeking a skilled professional to handle claims adjudication, authorization, and resolution processes.
Key Responsibilities:- Process and resolve claims for payment and denial in a timely manner
- Handle authorization, COB, duplicate, pricing, and corrected claims processes with accuracy
- Ensure the accurate and efficient completion of transactions to meet or exceed client service level agreements
- Develop a deep understanding of the healthcare insurance industry, including products, services, and processes performed by the team
This role requires strong analytical skills, effective communication, and reading comprehension and writing abilities. The ideal candidate will have 1-3 years of experience in processing claims adjudication and adjustment processes.
Required Skills:
- Strong analytical and problem-solving skills
- Excellent communication and interpersonal skills
- Ability to work independently with minimal supervision
- Proficiency in using software applications related to claims processing
Benefits:
- Opportunity to develop expertise in the healthcare insurance industry
- Chance to work on complex claims cases and improve process efficiency
- Collaborative and dynamic work environment
What We Offer:
- A competitive compensation package
- Ongoing training and development opportunities
- A supportive and inclusive work culture
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