Health Operations Associate
Core
Administer health claims by receiving, editing, pricing, adjudicating, and processing payments for claims.
Role type
Associate, claims processing specialist
Builds
Healthcare claims processing workflows
Domain
Healthcare / Insurance
Required skills
Payer Claims Processing, Claims registration, Claims editing, Claims verification, Claims evaluation, Claims examination, Litigation support, Claims adjudication, Payment processing
Responsibilities
Register claims, Edit verification claims, Evaluate and examine claims, Process payments for claims, Solve routine problems using precedent and guidelines