Claims Research Specialist

VirtualVocationsLincoln, Nebraska, United States

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A company is looking for a Claims Research Specialist to act as a liaison for claims inquiries and resolutions.

Key Responsibilities

Investigate and resolve internal and external claims-related issues

Assist with data integrity of the provider claims processing system and educate stakeholders on policies

Review Medicaid Bulletins for updates and manage provider complaints regarding claims issues

Required Qualifications

High school diploma or equivalent; Bachelor's degree preferred

3+ years of experience in claims payment processing in government programs

Experience in a managed care environment

Knowledge of claims billing and processing functions and Medicaid benefits

Customer service experience is a plus

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Research Specialist • Lincoln, Nebraska, United States

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