Offer summary
Qualifications:
High School Diploma or GED required, 5+ years of healthcare claims lifecycle experience, 3+ years of experience with Microsoft Access and Excel, 3+ years of SQL querying and database management systems experience, 3+ years experience with AS400, MC400, McNet and RC3 systems.
Key responsabilities:
- Review claims configuration accuracy and compliance
- Collaborate to identify and resolve procedural gaps
- Analyze business requirements and develop system solutions
- Act as liaison between business and technology
- Conduct testing and improve adjudication processes