Claims Resolution Specialist Remote Pennsylvania

Responsibilities: Review, research, and process provider claims according to established guidelines while managing Return to Provider forms. Collaborate across teams to meet deadlines and provide status updates to leadership regarding workload and roadblocks.

Requirements: Candidates must reside in Pennsylvania and have experience in healthcare insurance or medical claims processing. Proficiency in Microsoft Office and the ability to handle sensitive information with strong attention to detail are required.

Key skills: Claims Processing, Data Entry, Microsoft Office Suite, Healthcare Insurance, Medical Claims Analysis, Time Management, Organizational Skills, Analytical Thinking, Problem Solving, Verbal Communication, Written Communication, Interpersonal Skills, Julian Calendar Knowledge, Customer Support, Research, Confidentiality

Keywords: Claims Resolution, Medical Assistance Services, Healthcare Insurance, Provider Claims, RTP Forms, Data Entry, Microsoft Office, Julian Calendar, Claims Operation, Medical Claims, Remote Work, Pennsylvania