What are the responsibilities and job description for the Claims Liaison position at VirtualVocations?
A company is looking for a Claims Liaison I to serve as a liaison between the plan, claims, providers, and various departments to resolve claims issues.Key ResponsibilitiesAudit check runs and send claims to the claims department for correctionsCollaborate with various business units to resolve claims issues and ensure accurate claims adjudicationResearch and analyze claims processing issues and identify trends for potential improvementsRequired QualificationsHigh school diploma or equivalent3 years of claims processing, provider billing, or provider relations experience, preferably in a managed care environmentProficient in ExcelCPC certification preferredKnowledge of provider contracts and reimbursement interpretation preferred
