Claims Analyst

Integrated Resources Inc.; City of Syracuse (NY); On-site; USD 35,000 - 50,000; Full time

Job summary

A leading company in the medical claims processing industry is seeking an entry-level claims analyst in Syracuse, NY. This role involves investigating claims for accuracy and conducting various testing related to claims payments. Ideal candidates should have medical claims experience and a high school diploma, with strong communication and analytical skills.

Qualifications

• At least one year of claims knowledge.
• Medical claims experience preferred.
• 0-2 years in claims processing, auditing, or analysis.
• Advanced Word and Excel skills.

Responsibilities

• Conduct analysis to ensure accuracy in claims payment processes.
• Investigate problem claims to determine root causes.
• Perform testing for configurations and improvements.

Skills

Claims knowledge

Efficiency

Teamwork

Oral communication

Written communication

Project management

Education

High School graduate (or GED)

Tools

Word

Excel

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.