Healthcare Claims Specialist
il y a 5 jours
Job Summary
The Healthcare Service Operator will be responsible for managing and analyzing healthcare benefits within the MSA organization. This includes:
- Processing and evaluating healthcare claims, ensuring compliance with regulatory requirements and company policies.
- Providing exceptional customer service to members, addressing their inquiries and concerns regarding healthcare benefits and services.
- Collaborating with internal teams to resolve issues and improve operational efficiency.
- Staying up-to-date with industry developments and regulatory changes to ensure compliance and optimal service delivery.
Key Responsibilities
- Manage and analyze healthcare benefits, ensuring accurate and timely processing of claims.
- Communicate effectively with members, providing clear and concise information on healthcare benefits and services.
- Collaborate with internal teams to resolve issues and improve operational efficiency.
- Stay current with industry developments and regulatory changes to ensure compliance and optimal service delivery.
Requirements
- Strong analytical and problem-solving skills, with ability to work in a fast-paced environment.
- Excellent communication and interpersonal skills, with ability to work effectively with members and internal teams.
- Ability to stay current with industry developments and regulatory changes.
- Strong attention to detail and organizational skills, with ability to prioritize tasks and meet deadlines.
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