
Senior Healthcare Claims Process Specialist
2 hours ago
The role of a senior professional in the US healthcare claims process involves the evaluation and adjudication of medical claims. This requires strong analytical and problem-solving skills, as well as effective communication with teams.
We are seeking experienced professionals with expertise in claims adjustments, coding (ICD, CPT, HCPCS), and familiarity with regulatory projects such as the No Surprises Act.
- Claims Adjudication Experience: A minimum of 2 years of experience in claims adjudication is required for this role.
- Coding Skills: Proficiency in ICD, CPT, and HCPCS coding is essential.
- No Surprises Act Project Experience: Familiarity with the NSA project is highly desirable.
This role offers a competitive salary and a collaborative work environment, providing opportunities for growth and development within the organization.
Benefits:
- Competitive compensation package
- Comprehensive benefits program
- Ongoing training and development opportunities
About the Position:
This position plays a critical role in the evaluation and adjudication of medical claims, ensuring that patients receive timely and accurate payments. As a senior professional in the field, you will be responsible for analyzing complex claim data, identifying trends and areas for improvement, and implementing process enhancements to optimize operational efficiency.
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