Claims Research Specialist
VirtualVocationsTopeka, Kansas, United Statesjob_description.job_card.1_day_ago
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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 • Topeka, Kansas, United States
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