Medical Benefits Specialist
4 days ago
Job Description
The successful candidate will have previous experience in healthcare claims processing, preferably in a startup or tech-driven environment. They should also be familiar with medical coding and billing procedures.
Key Responsibilities
- Oversee claims evaluation processes for various services such as maternity, dental, and lab fees, ensuring timely payments.
- Manage and oversee claims processing, ensuring all supporting documents are complete and accurate.
- Develop and enhance reporting tools within the Hive Portal, ensuring data accuracy for hospital bills, procedures, and professional fees.
- Collaborate cross-functionally with healthcare, finance, and product teams to ensure smooth integration of new systems and procedures.
Required Qualifications
- Bachelor's degree in Healthcare Administration, Business, Finance, or a related field.
- Previous experience in healthcare claims processing, preferably in a startup or tech-driven environment.
- Familiarity with medical coding and billing procedures.
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