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Health Insurance Stakeholder Specialist

Company: VirtualVocations
Location: Mesquite
Posted on: April 3, 2025

Job Description:

A company is looking for a Health Insurance - Stakeholder Engagement Specialist.
Key Responsibilities:

Analyze and adjudicate payment determination disputes between nonparticipating providers and group health plans
Manage stakeholder communications and ensure timely and accurate data entry into the government portal
Complete case-related documentation and reporting for continuous quality improvement efforts

Required Qualifications:

Bachelor's degree; advanced degree in Health Care Administration or related field preferred
At least 3 years of experience in Health Insurance Claim/Coverage issues
Superior data entry skills and ability to thrive in a production-based environment
Proficient in Microsoft Office Suite
Ability to obtain and maintain U.S. Government Security Clearance

Keywords: VirtualVocations, Mesquite , Health Insurance Stakeholder Specialist, Healthcare , Mesquite, Texas

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