Offer summary
Qualifications:
Experience in claims processing, Knowledge of healthcare regulations like HIPAA, Proficient in Excel and SQL, Ability to analyze complex data sets, Excellent problem-solving skills.
Key responsabilities:
- Analyze claims workflows from submission to payment.
- Collaborate with stakeholders for process improvements.
- Evaluate pre-authorization requests and verify medical necessity.
- Create reports and dashboards to communicate insights.
- Enhance claims processing systems with IT teams.