Job Title
Job Description: Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level:
- High School Diploma
Experience:
- 4 years' experience in the health care industry, including experience working experience with providers, training, claims, customer service and presentations.
Preferred Qualifications
- Bachelor's degree in business, healthcare administration or related industry
- Previous experience with client, an insurance plan, a hospital, or a physician hospital organization (PHO).
Knowledge, Skills and Abilities (KSAs)
- Working knowledge of provider billing and coding mechanisms., Proficient
- Thorough knowledge of managed care industry legislated and regulated requirements, health care financial matters and third-party payment methodologies., Proficient
- Understanding of contractual documents and ability to effectively communicate terms to providers., Proficient
- Working knowledge of Microsoft Excel, Microsoft Access, Microsoft PowerPoint and Microsoft Word., Proficient