Entry-Level Claims Research & Triage Analyst

Molina Healthcare; Northern (KY); Remote; USD 20,000 - 44,000; Full time

Benefits offered by this job

Competitive benefits

Employee wellness program

Job summary

Molina Healthcare in the United States is seeking an entry-level Claims Analyst to support claims research activities. You will review provider-submitted questions, triage issues for investigation, and apply knowledge of claims processing to deliver timely resolutions.

This role emphasizes accuracy, documentation, and collaboration within a cross-functional team to meet production and quality standards, identify trends, and contribute to process improvements in a highly matrixed environment.

Qualifications

• Experience in medical claims processing or healthcare operations.
• Strong data research and analysis capabilities.
• Excellent organization and ability to manage multiple tasks.

Responsibilities

• Review claims-related issues submitted by providers to identify root causes.
• Triage issues by type and complexity for appropriate research or correction.
• Apply knowledge of claims processing workflows and regulations to assess claims.
• Meet quality and production goals and maintain detailed records.
• Identify trends to inform process improvements and reduce errors.
• Provide feedback for process improvements in provider claims research.

Skills

Claims data analysis

Attention to detail

Time management

Customer service

Problem solving

Independent & team work

Verbal & written communication

Excel

Tools

Microsoft Office

Job description

Molina Healthcare in the United States is seeking an entry-level Claims Analyst to support claims research activities. You will review provider-submitted questions, triage issues for investigation, and apply knowledge of claims processing to deliver timely resolutions.

This role emphasizes accuracy, documentation, and collaboration within a cross-functional team to meet production and quality standards, identify trends, and contribute to process improvements in a highly matrixed environment.