Required Education

Bachelor’s degree

Preferred Education

Master’s degree in Business or Health Care Administration

Required Experience:

3 years’ relevant professional experience including reviewing and auditing insurance payments and denials, recommending policies and systems, and staff training or an equivalent combination of education and experience.

Required Skills, Knowledge and Abilities

Knowledge of guidelines of managed care and claims guidelines and ability to identify trends/issues with denials and claims payments. Excellent analytical, communication and negotiation skills.