5 дней назад
Claims Analyst III
60 800 - 80 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Claims Analyst III (Claims Processing): Reviewing, auditing, and resolving claims, payment discrepancies, invoice disputes, and account issues with an accent on claims accuracy, eligibility decisions, and system effectiveness. Focus on researching complex discrepancies, developing solutions to claims issues, and coaching more junior team members.
Location: Remote within the United States
Salary: $60,800–$80,000 per year
Company
provides service-oriented healthcare-related support and claims services.
What you will do
- Review claims for irregularities, accuracy, completeness, and eligibility.
- Request missing information and coordinate claim documentation, invoice disputes, and payments.
- Analyze accounts and research payment and account discrepancies.
- Identify transactions, resolve claims issues, and escalate only the most complex cases.
- Support claims-system monitoring, process improvements, and implementation of new features.
- Provide leadership, coaching, and mentoring to junior team members.
Requirements
- Bachelor's degree required, or an equivalent combination of education and experience.
- Five or more years of experience.
- Strong understanding of claims processing and claim eligibility decisions.
- Excellent attention to detail, analytical ability, data entry skills, and problem-solving skills.
- Intermediate proficiency with Microsoft Word, Excel, and Outlook.
- Ability to type 35 words per minute, use a 10-key keypad, and work independently and collaboratively.
Culture & Benefits
- Remote full-time work arrangement.
- Medical, dental, and vision insurance.
- Employer-paid basic life insurance and AD&D, with additional voluntary life insurance options.
- Flexible spending accounts, commuter and parking benefits, and a 401(k) plan with company match.
- Paid time off, paid parental leave, short- and long-term disability coverage, tuition reimbursement, and employee discounts.
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