logo

View all jobs

Healthcare Benefit Coder - Remote

Phoenix, AZ
Title : Healthcare Benefit  Coder
Location : Phoenix AZ or Fully Remote
Employment type : Contract

Fully remote/WFH and equipment will be provided.

Job Description,

Position Summary

Provide operational expertise to support the team responsible for analyzing client requests, benefits coding.
Work alongside our implementation Management team to deliver high quality support to the client.
Follow policies and best practices relating to the job function by analyzing client requests, determine the best operational approach and install adjudication related drug lists (eg formulary, clinical edits, plan coverage, etc) in Rxclaim.
Ability to collaborate regularly with team to audit, review and verify drug list coding and testing while utilizing various tools
Provide SME oversight of operational issues and identify solutions to resolve process issues and operational gaps.
Support urgent issues not limited to research and analysis of drug lists setup.
Maintain oversight of all implementations/changes ensuring team meets all turnaround time and performance guarantees with excellent quality

Required Qualifications

Proficient use Microsoft Office applications, e.g. Excel, Word
Experience with data mining large data-sets and critically analyzing for trends and accuracy
Auditing experience
Able to serve in indirect leadership role and effectively communicate with team and leadership
Able to apply logical thinking and analytical skills to research claims issues, formulate a strategic approach and then execute
Able to seek out and find solutions independently.

Thanks
Neeraj
408-675-1970
Email: neeraj@reqroute.com
 
Companies across U.S. have engaged ReqRoute, Inc to deliver skilled, dedicated IT professionals. Recruiting is our passion and we support Fortune 1000 companies with their hiring needs. We always seek to deliver competitive and sought-after career opportunities to our potential consultants and employees. We invite you to review the position requirements and apply today if your skills match our needs.  
 
ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law. (www.reqroute.com)

Share This Job

Powered by