DOFR Specialist

You have a minimum of 5 years of experience in US Healthcare, with expertise in claims processing and medical billing in Medicare or commercial line. You are also proficient in contract configuration, with specific knowledge on Division of Financial Responsibility work. Your strong knowledge lies in Managed Care, particularly in Medicare Advantage, Commercial, or Medi-cal. You possess the ability to translate agreements/contracts into a matrix for codification and have a solid understanding of contract interpretation and financial responsibility in healthcare, specifically the division of financial responsibility. Your extensive expertise includes a deep understanding of billing, encompassing service code, rev code, diagnosis, and place of service. You excel in translating health plan financial responsibility into the code set level and have coding experience. Additionally, you have hands-on experience in claims processing. You have a minimum of 5 years of experience in US Healthcare, with expertise in claims processing and medical billing in Medicare or commercial line. You are also proficient in contract configuration, with specific knowledge on Division of Financial Responsibility work. Your strong knowledge lies in Managed Care, particularly in Medicare Advantage, Commercial, or Medi-cal. You possess the ability to translate agreements/contracts into a matrix for codification and have a solid understanding of contract interpretation and financial responsibility in healthcare, specifically the division of financial responsibility. Your extensive expertise includes a deep understanding of billing, encompassing service code, rev code, diagnosis, and place of service. You excel in translating health plan financial responsibility into the code set level and have coding experience. Additionally, you have hands-on experience in claims processing.