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Remote Health Claims Operations Specialist III

Company: VirtualVocations
Location: Colorado Springs
Posted on: November 22, 2022

Job Description:

A health services company is seeking a Remote Health Claims Operations Specialist III.

Core Responsibilities Include:
Deploying regulatory reporting such as CMS and Medicaid Prompt Pay
Identifying payment integrity issues with claims reimbursement methodologies
Leading Claims initiatives such as working with IT and others to automate claim functions
Must meet the following requirements for consideration:

Bachelor's degree or equivalent years of relevant work experience required
Minimum of five (5) years of healthcare claims environment, equivalent managed care, or health operations
Demonstrated understanding of claims operations specifically related to managed care
Advanced knowledge of coding and billing processes, including CPT, ICD-9, ICD-10 and HCPCS coding
Ability to work independently and within a team environment, and possess Technical writing skills
FACETS experience is required

Keywords: VirtualVocations, Colorado Springs , Remote Health Claims Operations Specialist III, Other , Colorado Springs, Colorado

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