System Administrator at Kyndryl solving complex problems and managing systems data for clients. Collaborating with diverse teams while ensuring security compliance and day - to - day solutions.
About the role
- Provider Reimbursement Administrator Senior developing claims adjudication processes and reimbursement policies for healthcare. Utilizing expertise in medical billing and coding and mentoring junior staff.
Responsibilities
- Ensure accurate adjudication of claims
- Translate medical policies into effective reimbursement criteria
- Develop enterprise reimbursement policies
- Work with departments on claims adjudication workflow development
- Lead projects related to provider reimbursement initiatives
- Serve as a mentor to less experienced administrators
Requirements
- Requires a BA/BS degree
- Minimum of 4 years related experience
- RN; Medical billing and coding certification strongly preferred
- Claim edit experience strongly preferred
- WGS and/or GBD Facets experience preferred
Benefits
- Medical, dental, vision benefits
- Paid Time Off
- Incentive bonus programs
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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