Financial Claims Analyst Representative

Independent Health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Financial Claims Analyst Representative to tackle claims payment issues and enhance operational efficiency. This role offers the opportunity to work in a collaborative environment where you can grow your career while enjoying competitive hourly pay and comprehensive benefits. The ideal candidate will possess strong analytical and decision-making skills, along with a solid background in claims processing. Join a team that values passion, respect, and accountability, and contribute to improving member satisfaction in the healthcare sector.

Benefits

Comprehensive Benefits

Generous Paid Time Off

Potential Incentive Scorecards

Qualifications

• 2+ years of experience in claims processing and procedures.
• Proficiency in PC and Windows; familiarity with Siebel and Maccess is a plus.

Responsibilities

• Log, research, adjust, and record cash adjustments in financial systems.
• Validate invoices from third-party collection agencies for reimbursement.

Skills

Claims Processing

Analytical Skills

Communication Skills

Decision-Making

Ability to Learn Quickly

Education

High School Diploma or GED

Associates Degree

Tools

PC

Windows

Siebel

Maccess

Job description

We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits, and a culture that fosters growth, innovation, and collaboration.

Overview

The Financial Claims Analyst Representative is responsible for claims payment issues related to cash adjustments within our operations and financial systems.

Qualifications

• High School diploma or GED required; Associates degree preferred.
• At least two (2) years of experience in claims processing and procedures.
• Experience with Independent Health claims processing, current operating systems, CPT and IDC-9 coding, and billing knowledge preferred.
• Ability to learn new processes quickly.
• Strong decision-making and analytical skills for reviewing healthcare benefit payments.
• Excellent written and verbal communication skills.
• Proficiency in PC and Windows; familiarity with Siebel and Maccess is a plus.
• Demonstrated alignment with IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative, and Accountable.

Essential Accountabilities

Technical Proficiency:

• Log, research, adjust, reprocess, and record all voids and cash adjustments accurately and timely in operations and financial systems. Coordinate with providers and internal departments as needed. Ensure all received refund cash is accounted for monthly.
• Maintain and update departmental policies and procedures regularly, staying current with workflow changes.

Communication:

• Summarize monthly activities for review by accounting, COB, and internal operations. Suggest improvements based on findings.

Review:

• Validate invoices from third-party collection agencies for workers' compensation cases. Review claims requesting reimbursement and notify departments of necessary adjustments.

Team Building:

• Assist in cross-training team members on cash adjustments.
• Support accounts receivable to expedite collections when needed.

Note: Immigration or work visa sponsorship is not provided for this position.

Hiring Range: $20.00 - $23.00 hourly

Compensation varies based on skills, education, location, and experience.

Additional benefits include potential incentive scorecards, comprehensive benefits, and generous paid time off. Salary ranges may change.

Independent Health is an Equal Opportunity / Affirmative Action Employer. We do not discriminate based on race, color, creed, religion, sex, sexual orientation, gender identity, age, national origin, marital status, citizenship, disability, criminal record, genetic information, veteran status, or other protected characteristics. Click here for additional EEO/AAP or Reasonable Accommodation information.

Current associates should apply internally via the Job Hub app.

About the company

Independent Health, headquartered in Buffalo, NY, is a not-for-profit organization established in 1980, recognized for excellence in customer service and member satisfaction.