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Claims Analyst I (Remote Option)

Talentify.io

United States

Remote

USD 40,000 - 60,000

Full time

2 days ago

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Job summary

A leading company in healthcare claims management is looking for a Claims Analyst to manage claims processing and ensure provider satisfaction. Ideal candidates will have strong organizational skills, effective communication abilities, and a minimum of three years of relevant experience. The position offers competitive compensation, remote work options, and comprehensive benefits.

Benefits

Competitive compensation

Annual incentive bonus plan

Comprehensive medical, dental, and vision insurance

Generous vacation and sick time accrual

Company paid life and disability insurance

401(k) plan with employer match

Qualifications

Minimum 3 years experience in claims reimbursement in a healthcare setting.
Proficiency in managing multiple priorities.
Strong organizational and communication skills.

Responsibilities

Finalize claims for payment and maintain adjudication workflow.
Reconcile provider claims payments and handle corrections.
Ensure compliance with established procedures.

Skills

Organizational skills

Oral communication

Written communication

Microsoft Office proficiency

Education

High School graduate or equivalent

1 week ago Be among the first 25 applicants

Employer Industry: Healthcare Claims Management

Why Consider This Job Opportunity

Salary up to competitive compensation based on experience
Eligible for annual incentive bonus plan
Comprehensive medical, dental, and vision insurance with low deductible/low-cost health plan
Generous vacation and sick time accrual, plus 12 paid holidays
Company paid life and disability insurance along with a 401(k) plan with employer match
Remote work option available, promoting flexibility in your work environment

What To Expect (Job Responsibilities)

Finalize claims processed for payment and maintain claims adjudication workflow, reconciliation, and quality control measures
Reconcile provider claims payments through quality control measures and agency policies
Assess claims adjustments for correction or recoupment and coordinate the recoupment process
Maintain provider satisfaction by handling inquiries and providing assistance during regular business hours
Review internal bulletins and fee schedules to ensure compliance with established procedures

What Is Required (Qualifications)

High School graduate or equivalent
Minimum of three (3) years of experience in claims reimbursement in a healthcare setting
Strong organizational skills and ability to manage multiple priorities
Excellent oral and written communication skills
Proficiency in Microsoft Office products and ability to handle a large volume of work

How To Stand Out (Preferred Qualifications)

Experience with Medicaid Waiver requirements, HCPCS, revenue codes, ICD-10, and CMS 1500/UB04 coding

#HealthcareClaims #RemoteWork #ClaimsAnalyst #CompetitiveBenefits #CareerGrowth

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Seniority level

Seniority level
Mid-Senior level

Employment type

Employment type
Full-time

Job function

Job function
Analyst
Industries
Staffing and Recruiting

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