Temporary Operations Resolution Specialist Mchp – Provider Data Management

MediGold

Not specified
Knowledge of claims processing
Experience in managed care health insurance
Ability to resolve escalated inquiries
MediGold is seeking a Temporary Operations Resolution Specialist for a full-time position focused on addressing escalated issues related to claims, member services, and network operations. The ideal candidate will have relevant experience in managed care or customer service, with a strong understanding of healthcare claims and coding requirements

Job Summary

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

Matching Summary

Match Score: 75

MediGold is seeking a Temporary Operations Resolution Specialist for a full-time position focused on addressing escalated issues related to claims, member services, and network operations. The ideal candidate will have relevant experience in managed care or customer service, with a strong understanding of healthcare claims and coding requirements.

Skills & Requirements

Must-have

  • knowledge of claims processing
  • experience in managed care health insurance
  • ability to resolve escalated inquiries

Nice-to-have

  • strong customer service skills
  • ability to work with external vendors
  • team collaboration

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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