
Medical Claims Specialist
2 weeks ago
Our organization seeks a skilled specialist to play a vital role in medical claims processing.
Job Responsibilities:
- Review medical records to assess customer needs and requirements
- Interpret complex medical information to make informed decisions about claim coverage
- Develop solutions to improve claim processing workflows
- Ensure seamless communication and delivery of results through collaboration with cross-functional teams
Qualifications:
- Active PHRN and USRN Mainland License required
- Minimum 1 year bedside experience preferred, but not required for this role
- Excellent analytical and problem-solving skills
- Strong communication and interpersonal skills
Key Aspects:
- Accuracy and efficiency are essential in this position
- Experience with complex medical information is beneficial
- Collaboration and effective communication are critical for success
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