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Claims Analyst

Syracuse, NY, United StatesRemoteContract

AI Summary

A contract Claims Analyst reviews healthcare claims payment processes, investigates problem claims, and performs testing (e.g., benefit, configuration, validation) to ensure accurate provider payments and process improvements.

About this role

Claims Analyst

Healthcare Company

Job Title: Claims Analyst

Duration: 1+ months contract

Location: Syracuse , New York 13212

Hours: Mon- Fri 9 am to 5:30

Job Description:

Conducts analysis around various claims payment processes to ensure accuracy of system configuration and provider payments. Investigates problem claims to determine root cause of problem and/or error to address both individual claim resolution and improvement to process to avoid issues from occurring in the future. Perform and execute various claims process testing requests to ensure desired results are met to support accurate claims payments. Testing categories include but are not limited to the following: Benefit, Contract, and Fee Schedule Configuration, System Enhancements, Report Validation, Validation of electronic file loads.

EDUCATION:

  • At least one year claims knowledge.
  • Looking for medical claims experience for these position.
  • Top Three: Claims knowledge, efficient and work well with a group
  • Required Education: High School graduate (or GED).
  • Required Experience: 0-2 years of claims processing with advancement to auditing / claims analysis / claims research.
  • Some project management skills. Good oral and written communication skills. Advanced Word and Excel skills.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Skills

Claims KnowledgeMedical ClaimsMicrosoft ExcelMicrosoft WordProject Management

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