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Claims Liaison II

Company: Centene
Location: Des Moines
Posted on: September 14, 2019

Job Description:

Claims Liaison II 009O9 Position Purpose: Serve as the claims payment expert for the Plan and as a liaison between the plan, claims, and various departments to effectively identify and resolve claims issues. Act as the subject matter expert for other Claims Liaisons. Education/Experience: High school diploma or equivalent. 5+ years of claims processing, provider billing, or provider relations experience, preferably in a managed care environment, Knowledge of provider contracts and reimbursement interpretation preferred. Customer service, data entry, data analysis for trending and tracking, and/or root cause analysis. The ability to disseminate information across a wide variety of audiences. The ability to prioritize work and successfully handle issue resolution in a timely manner. Licenses/Certification: CPC certification preferred. Claims Operations USA-Iowa-Des Moines Iowa Total Care Full-time

Keywords: Centene, Des Moines , Claims Liaison II, Other , Des Moines, Iowa

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