Electronic Claims Analyst

BroadPath Healthcare Solutions; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A remote healthcare solutions company is seeking an Electronic Claims Analyst to join their team. This role involves processing electronic claims, resolving claims-related issues, and collaborating with various departments. The ideal candidate will have a Bachelor’s degree, strong analytical skills, and at least two years of related experience. This position offers competitive hourly pay and a fully remote working environment.

Qualifications

• Proven analytical abilities with the capacity to assess information and resolve problems.
• Ability to work independently while effectively prioritizing multiple tasks.
• Strong written and verbal communication skills.

Responsibilities

• Upload and process electronic claims ensuring accuracy and compliance.
• Conduct detailed e-claims analysis to identify trends or discrepancies.
• Research and resolve electronic claim issues in collaboration with other departments.
• Review and address error reports generated from electronic claim loads.
• Communicate with providers regarding billing procedures.
• Troubleshoot data entry and electronic claims issues with technical teams.
• Provide technical support and training to staff involved in processing.

Skills

Analytical abilities

Written communication skills

Verbal communication skills

Ability to prioritize tasks

Education

Bachelor's degree or equivalent

Job description

Overview

BroadPath is seeking an Electronic Claims Analyst to join our dynamic, fully remote team! In this role, you will play a key part in processing electronic claims, researching and resolving claims-related issues, and supporting other departments with electronic claims processes. You will also contribute to developing and implementing new procedures aimed at enhancing efficiency and data integrity.

Compensation Highlights

• Base pay: $18.00 per hour
• Pay frequency: Weekly pay!

Schedule Highlights

• No weekend work required
• Training Schedule: Monday-Friday, 8:00am-4:30pm Pacific Time
• Production Schedule: Monday-Friday, 8:00am-4:30pm Pacific Time

Responsibilities

• Upload and process electronic claims while ensuring accuracy and compliance with established procedures
• Conduct detailed e-claims analysis to identify trends or discrepancies that may impact financial performance
• Research and resolve electronic claim issues within Data Management, collaborating with the Claims and Network Services departments to correct discrepancies related to provider billing such as Tax ID numbers, NPI usage, and vendor addresses
• Review and address error reports generated from electronic claim loads
• Communicate with providers regarding billing procedures to ensure proper submission and processing of electronic claims
• Collaborate with internal users and technical teams to troubleshoot data entry and electronic claims issues
• Keep the Data Management Manager informed of system updates, challenges, and operational concerns
• Provide technical support, training, and guidance to staff involved in electronic claims processing
• Assist in testing new claims requirements and system processes in coordination with other departments
• Develop, document, and maintain efficient workflows and standard operating procedures for electronic claims
• Perform additional related duties as assigned

Qualifications

• Ability to work independently while effectively prioritizing multiple tasks
• Strong written and verbal communication skills
• Proven analytical abilities with the capacity to assess information, determine appropriate actions, and identify and resolve problems
• Bachelor’s degree required, or equivalent combination of education and experience
• Minimum of two years of related work experience required

Diversity Statement

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at [e-mail]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.