Claims Research Resolution Rep
Core
Investigate, research, and resolve complex medical claims issues by working with healthcare providers, members, and third-party collection services to achieve accurate and timely outcomes.
Role type
Claims Research Resolution Representative
Builds
Resolved claims and accurate outcomes for members and healthcare providers
Domain
Healthcare administration and claims processing (via careerplan.io/jobs/5d73fbe6-2fab-4481-8ae8-ef80815145ef-claims-research-resolution-rep-at-jobgether)
Deliverable
client delivery
Required skills
Healthcare customer service, Call center operations, Microsoft Excel, Microsoft Word, Healthcare terminology, Medicare/Medicaid claims knowledge, Analytical problem-solving, Verbal and written communication
Preferred skills
Medical claims processing environment experience, Member reimbursement claims management, Microsoft Access, Medicare industry knowledge