Operations Specialist
VirtualVocationsLincoln, Nebraska, United Statesjob_description.job_card.30_days_ago
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A company is looking for an Operations Specialist III who provides analytical support and leadership for key claims-related projects.
Key Responsibilities
Perform regulatory reporting and serve as a high dollar claims reviewer
Act as primary Claims Representative and Subject Matter Expert for corporate projects and external audits
Lead initiatives to automate claims functions and assist in developing policies and procedures for claims processing
Required Qualifications
Bachelor's degree or equivalent years of relevant work experience required
Minimum of five (5) years of experience in a healthcare claims environment or related field
Advanced proficiency in Microsoft Word, Excel, and PowerPoint
Demonstrated understanding of claims operations related to managed care
Advanced knowledge of coding and billing processes, including CPT, ICD-9, ICD-10, and HCPCS coding
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Operation Specialist • Lincoln, Nebraska, United States
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