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Healthcare Claims Liaison

A Claims Liaison in the healthcare field serves as the claims payment expert for a company in the healthcare field such as a hospital, clinic, or nursing facility. One of the main focuses of a Claims Liaison is to act as an intermediary between various healthcare services and clients or patients by offering information and education about those services. The Claims Liaison should be able to explain things clearly to their clients and patients with excellent communication skills, in order to build long-lasting relationships with them.

Job Duties

The primary duties of a Claims Liaison in the Healthcare field includes, but may not be limited to:

  • Preparing reporting related to claims in a timely manner
  • Identifying discrepancies in payments, as well as payment updates
  • Work to ensure that claims are processed in a timely manner, and that they are processed in accordance to proper policies and procedures
  • Demonstrate a strong knowledge of all relevant products
  • Apply any applicable policies, procedure, or guidelines as needed

Skills and Education

  • In some instances, a High School Diploma or GED may be acceptable when coupled with appropriate amounts of previous experience
  • A minimum of 4 years of experience in a related field such as claims adjudication, or auditing experience required. A Bachelor’s degree in a related field may be substituted for some experience
  • Demonstrate strong interpersonal skills, as well as excellent written and oral communication abilities
  • The ability to work under pressure and multi task is strongly recommended