
Senior Claims Processor
1 day ago
Maximize your career potential by taking on a senior role in US healthcare claims processing.
About the Opportunity:- Lead and optimize claims processing workflows to ensure timely and accurate payment of healthcare claims.
- Develop strong analytical skills and attention to detail to review and resolve complex claim issues.
- Collaborate effectively with cross-functional teams to drive successful claim resolution.
We are seeking an experienced professional with expertise in claims adjudication, coding (ICD, CPT, HCPCS), and analytical skills. Experience with NSA (No Surprises Act) projects is highly valued.
If you have a strong background in claims adjustments, coding, and problem-solving, we encourage you to apply for this challenging opportunity.
Responsibilities:
- Manage and optimize claims processing workflows to ensure compliance and efficiency.
- Review and resolve complex claim issues through thorough analysis and effective communication.
- Collaborate with cross-functional teams to drive successful claim resolution and improve business outcomes.
Requirements:
- Expertise in claims adjudication and coding (ICD, CPT, HCPCS).
- Strong analytical skills and attention to detail.
- Effective communication and collaboration skills.
Preferred Qualifications:
- Experience with NSA (No Surprises Act) projects.
- Background in claims adjustments and problem-solving.
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