Claims Specialist Pace (wfh-1.0)

Franciscan Alliance Inc

Unknown, Indiana, US
Base: $20.25 - $26.33; bonus/equity: not applicabl...
Fully remote
1 year medical claim processing experience
Manual and electronic claims processing
Cms rules and medicare guideline adherence
The Claims Specialist position at Franciscan Alliance Inc is a fully remote role focused on processing and adjudicating medical claims for the PACE program. Ideal candidates should have a background in medical claims processing and be committed to delivering compassionate care to seniors

Job Summary

  • The role ensures PACE medical claims are processed efficiently while adhering to strict CMS requirements and company policies.
  • Franciscan Alliance is a large Catholic healthcare system committed to providing individualized and joyful care to seniors in their communities.
  • This position serves as the primary point of contact for vendors regarding billing concerns, claim statuses, and appeals.

Matching Summary

Match Score: 85

The Claims Specialist position at Franciscan Alliance Inc is a fully remote role focused on processing and adjudicating medical claims for the PACE program. Ideal candidates should have a background in medical claims processing and be committed to delivering compassionate care to seniors.

Salary

Base: $20.25 - $26.33; Bonus/Equity: Not Applicable; Benefits: Comprehensive benefit offerings

Skills & Requirements

Must-have

  • 1 year medical claim processing experience
  • manual and electronic claims processing
  • CMS rules and Medicare guideline adherence

Nice-to-have

  • Associate's degree in Finance or Healthcare
  • Certified Medical Reimbursement Specialist credential
  • Collaboration with interdisciplinary teams

Key Requirements

  • Associate's Degree preferred
  • CMRS certification preferred
  • 1 year medical claim processing experience required

Work Rights

Not specified

Tailored Resume

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