Role Activities

• manage team
• review pricing
• resolve inquiries

Requirements Summary

5+ years in medical/insurance; 3+ years supervisory; Associate or higher preferred; knowledge of CMS guidelines and ICD-10 coding.

Other Requirements

Ceris

CERIS serves healthcare payers in excelling with paying medical claims correctly the first time. We drive business and policy strategies through technology to detect and resolve pre and post payment issues for health claims. Our team of policy and payment integrity leaders deliver savings through the prevention of improper payments and recovery of overpayments. Our multi-faceted processes and relationships with the medical community makes CERIS a partner of choice for state agencies, commercial health payors, managed care organizations, and third party administrators across the nation. Come visit us on the web, review our services, from Itemization Solution to a new out of network repricing method sure to support financial responsibility.