Nevada Claims Liaison
Company: VirtualVocations
Location: Livonia
Posted on: May 1, 2025
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Job Description:
A company is looking for a Claims Liaison I to serve as a
liaison between the plan, claims, providers, and various
departments to effectively identify and resolve claims issues.
Key Responsibilities
Audit check runs and send claims to the claims department for
corrections
Collaborate with various business units to resolve claims issues
and ensure prompt and accurate claims adjudication
Analyze trends in claims processing issues and assist in
identifying and quantifying issues
Required Qualifications
High school diploma or equivalent
3+ years of claims processing, provider billing, or provider
relations experience, preferably in a managed care environment
Proficient in Excel
CPC certification preferred
Knowledge of provider contracts/reimbursement interpretation
preferred
Keywords: VirtualVocations, Elyria , Nevada Claims Liaison, Other , Livonia, Ohio
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