A company is looking for a Claims Negotiator I to negotiate out-of-network claim payments with providers on behalf of group health plans.
Key ResponsibilitiesReview and analyze health care claims for cost reasonableness, medical necessity, and potential fraudNegotiate discounts with providers and reprice claims to applicable Medicare ratesDocument and process claims in the QicLink System, ensuring compliance with privacy lawsRequired Qualifications and EducationBachelor's degree or equivalent work experience requiredA minimum of 5 years of medical claims analysis experience requiredStrong analytical skillsKnowledge of computer systems and CPT and ICD-9 coding terminology
Claims Negotiator
A company is looking for a Claims Negotiator I to negotiate out-of-network claim payments with providers on behalf of group health plans. ...
Contract Negotiator I
A company is looking for a Contract Negotiator I. ...
Remote Customer Service Representative 50k-60k/Year - Work From Home
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