Job Description :
Required Skills (rank in order of Importance):
· 10 years’ experience in healthcare insurance; medical review, program integrity, or appeals.
· 5 years’ experience working with IT developers/programmers in payer environment.
· Knowledge of ICD/CPT/HCPCS coding.
· Ability to effectively communicate to executive management, line management, project management, and team members.

Preferred Skills (rank in order of Importance):
· Claims processing systems experience.
· Knowledge of Microsoft Office (Word, Excel, PowerPoint) or other applicable software programs.

Client : State Client