Operations Resolution Specialist Mchp – Provider Data Management

MediGold

**
Knowledge of provider coding and billing
Experience in managed care health insurance
Ability to respond to escalated inquiries
** MediGold is seeking a full-time Operations Resolution Specialist for its Provider Data Management team. The role involves researching, analyzing, and resolving complex issues related to claims and member services, requiring a background in managed care and knowledge of provider coding. **

Job Summary

  • MediGold is dedicated to providing excellent customer service and exceptional healthcare coverage.
  • The Operations Resolution Specialist serves as a subject matter expert in claims and member services.
  • We invest in great people and ask that you come to work ready to make a difference.

Matching Summary

Match Score: 75

** MediGold is seeking a full-time Operations Resolution Specialist for its Provider Data Management team. The role involves researching, analyzing, and resolving complex issues related to claims and member services, requiring a background in managed care and knowledge of provider coding. **

Skills & Requirements

Must-have

  • knowledge of provider coding and billing
  • experience in managed care health insurance
  • ability to respond to escalated inquiries

Nice-to-have

  • strong customer service skills
  • team collaboration
  • proactive problem-solving

Key Requirements

  • Associate or Bachelor's degree preferred
  • CPC, CPC-P or equivalent required
  • 1-3 years experience in customer service

Work Rights

Not specified

Tailored Resume

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