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Healthcare Claims Operations ExpertVirtualVocations • Downey, California, United States
Healthcare Claims Operations Expert

Healthcare Claims Operations Expert

VirtualVocations • Downey, California, United States
1 day ago
Job type
  • Full-time
Job description
Seeking an experienced Healthcare Claims Operations Expert for a full-time contract position, the candidate will manage the complete healthcare claims lifecycle, ensuring accurate processing and compliance while working remotely. Key responsibilities Manage the complete healthcare claims lifecycle, from intake to payment and adjustments Review and resolve complex medical, dental, vision, and pharmacy claims Drive process improvement, automation, and operational excellence initiatives Required qualifications 8+ years of experience in US Healthcare Payer Operations Strong expertise in medical claims processing and adjudication Familiarity with Medicare, Medicaid, and commercial insurance Experience with payer platforms such as Facets, QNXT, and HealthRules Advanced Excel skills and knowledge of SQL
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Healthcare Claims Operations Expert • Downey, California, United States

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