Job Details

Job Description:
Qualifications

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
• The requirements listed below are representative of the knowledge, skill, and/or ability required.
• Reasonable
• accommodations may be made to enable individuals with disabilities to perform the essential functions.

• High School Diploma

• 4 years' experience in the health care industry, including experience working experience with providers, training, claims, customer service and presentations.

• Bachelor's degree in business, healthcare administration or related industry
• Previous experience with Client, an insurance plan, a hospital, or a physician hospital organization (PHO).

• Working knowledge of provider billing and coding mechanisms., Proficient
• Thorough knowledge of managed care industry legislated and regulated requirements, health care financial matters and third-party payment methodologies., Proficient
• Understanding of contractual documents and ability to effectively communicate terms to providers., Proficient
• Working knowledge of Microsoft Excel, Microsoft Access, Microsoft PowerPoint and Microsoft Word., Proficient