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Remote Medical Pre Payment Claim Specialist II

Company: VirtualVocations
Location: Delray Beach
Posted on: September 22, 2022

Job Description:

A healthcare company is searching for a person to fill their position for a Remote Medical Pre Payment Claim Specialist II.

Individual must be able to fulfill the following responsibilities:
Triage, investigate and resolve instances of healthcare error, waste and/or abusive conduct
Use information from tips and complaints from plan members
Conduct claim and or clinical reviews to gather and analyze all necessary information and documents
Required Skills:

Bachelor's degree or equivalent experience in related field
3+ years of work experience beyond degree
Billing/Claims experience
Cosmos/HealthRules experience
Mathematical skills
Strong written and verbal communication skills

Keywords: VirtualVocations, Delray Beach , Remote Medical Pre Payment Claim Specialist II, Healthcare , Delray Beach, Florida

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