Claim Edit and Vendor Integrity Specialist, Geisinger Health Plan ( Eastern United States resident )
Work from Homeremotemid
Posted today · via Workday
About this role
Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job Summary: Our successful candidate has experience collaborating with external vendors in a healthcare claims or payment integrity environment, including implementation support, claim-edit validation, issue escalation and resolution, performance monitoring, and ongoing vendor relationship management. Job Duties: Acts as a leader, liaison, and resource working collaboratively with a diverse group, including management, physicians, clinical and non-clinical personnel utilizing the national correct coding standards, approaches, and industry standard coding rules to support and expand internal and external strategies.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
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2
Level fit
This role is mid-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible. We factor in your stated location and time-zone overlap.
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Skills in this role
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