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Summary
About the Role
About You
- High School Diploma/GED required.
- American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) required.
- Healthcare billing and coding experience required.
- Required ability to focus on technical claims processing and provider data maintenance knowledge.
- Required understanding of healthcare claims payment configuration process/systems.
- Associate’s Degree or equivalent education and experience preferred.
- 1 to 2 years managed care or related experience preferred.
- 1 to 2 years Medicaid experience preferred.
- 2 to 5 years of claims analysis experience in a healthcare environment preferred.
- Strong with Microsoft Office Suite (Excel, Word, Access, PowerPoint) preferred.
- Critical thinking and root cause analysis skills required.
Benefits
- Flexible work solutions including remote options and hybrid work schedules.
- Competitive pay.
- Paid time off including holidays and volunteer events.
- Health insurance coverage for you and your dependents on Day 1.
- 401(k) Tuition reimbursement and more.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we impact the lives of millions of people through our national footprint of products, services, and award-winning programs. Headquartered in Newtown Square, PA, AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other support services. In the process, we are dedicated to helping find solutions to end poverty so everyone can reach their American Dream.