Job description
Suspense Examiner
TalentoHCM has partnered with a client whose offerings include Medicaid Management Information Systems, fiscal agent services, program integrity, care management, immunization registry, and eligibility services. They are looking to add a Suspense Examiner to their organization for a long-term contract assignment.
Responsibilities
- Process suspended medical claims, adjustments, and voids within established guidelines
- Escalate issues for which there is not a documented procedure or precedent
- Maintain performance within defined qualitative and quantitative objectives
- Familiarity with different claim types, such as diagnosis code, medical supplies, medical transportation, procedure code, and medical device is preferred.
Experience
- 2 – 4 years medical claims processing preferred
- High school or equivalent
Talento Human Capital Management is an equal opportunity employer people are at the center of what we do! Our organization continues to thrive through our ongoing commitment to building an inclusive and diverse workforce from different backgrounds and perspectives.
People + Passion + Perseverance = Progress.
About Talento:
Talento Human Capital Management provides talent and organizational solutions enabling businesses to evolve beyond tactical human resources management. Our footprint spans across the US Latin America and Asia.
colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, colinoncars.com is the ideal place to find your next job.