Healthcare Services Specialist
VirtualVocationsMadison, Wisconsin, United Statesjob_description.job_card.variable_days_ago
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job_description.job_card.job_description
A company is looking for a Healthcare Services Segment Specialist (RAC).
Key Responsibilities
Lead reviews and updates of existing concepts based on client or regulatory changes
Conduct research and document impacts for new concept development while ensuring training material updates
Monitor and provide statistical analysis for audit concepts, ensuring compliance and timely application of regulatory changes
Required Qualifications
Minimum 8+ years of experience in healthcare claim type subject matter specialty
Bachelor's degree in a related field or equivalent experience
Registered Nurse or Certified Coder with nationally recognized credentials required
Broad knowledge of medical claims billing / payment systems and payer reimbursement policies
Progressive healthcare data analysis experience, including gathering and documenting requirements
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Healthcare Specialist • Madison, Wisconsin, United States
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