Senior Claim Benefit Specialist – Operations

Senior Claim Benefit Specialist – Operations

Requirements

• 2 years Medical Claims processing experience (Commercial, Medicaid, Medicare, etc.)
• Experience in a production environment.
• Analytical skills, with the ability to research particularly in areas involving rejected claims.
• Demonstrated ability to handle multiple assignments competently, accurately, and efficiently.
• Demonstrated proficiency with personal computer, keyboard navigation skills, and MS Office Suite applications.

Responsibilities

• Works to research and resolve encounter errors
• Ensures all compliance requirements are met.
• Identifies and reports possible claim overpayments, underpayments, scanning issues and any other irregularities.

Preferred Qualifications

• QNXT claims processing experience
• Encounters experience
• Edifecs knowledge