Claims Research AssociateVirtualVocations • Gainesville, Florida, United States
Claims Research Associate
VirtualVocations • Gainesville, Florida, United States
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A company is looking for an Associate Analyst, Claims Research.
Key Responsibilities
Reviews and analyzes claims-related issues submitted by providers
Triages issues and assigns them to the appropriate department for further research
Maintains detailed records of claim reviews and identifies trends for process improvements
Required Qualifications
At least 1 year of experience in claims processing or a relevant combination of education and experience
Basic knowledge of medical billing and claims processes
Proficiency in Microsoft Office suite / applicable software programs
Ability to work independently and as part of a team
Experience with Medicaid, Medicare, and Marketplace claims is preferred
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