Medical Claims Specialist
Company: VirtualVocations
Location: Murfreesboro
Posted on: February 1, 2025
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Job Description:
A company is looking for a Medical Claims Specialist to research
and process claims while providing expertise for departmental and
corporate projects.
Key Responsibilities
Process claims pending for various hold reasons to assist in final
determination
Research complex claims issues and collaborate with other
departments for resolution
Act as subject matter expert and primary liaison for claims-related
content
Required Qualifications
High school diploma or equivalent is required
5+ years of experience in claims processing for commercial and
Medicare claims
3+ years of experience in researching and resolving operational
issues
EZ-CAP software experience is highly preferred
Previous visibility into Medicare and Medicare Advantage programs
is highly preferred
Keywords: VirtualVocations, Decatur , Medical Claims Specialist, Healthcare , Murfreesboro, Alabama
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