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Kforce Claims Research Specialist in Clayton, Missouri

Kforce has a client in search of a Claims Research Specialist in Clayton, MO.Position Purpose: * Perform duties to act as a liaison between provider relations, provider services, the health plan and corporate to investigate and resolve claims inquiries * Analyzing claims not paying claims Day to day: * Reviewing pended claims and tracing back to root cause * High School diploma or equivalent * Bachelor's degree preferred * 3 years of experience in claims payment processing in government programs and experience in a managed care environment * Knowledge of claims billing and processing functions, Medicaid benefits, and/or customer service Top 3 skills: * Claims experience * Provider data management experience * Analytical thinking Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.Compensation Type:Hours

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