Junior Claims Research & Triage Analyst

UnitedHealth Group; United States; À distance; USD 20 000 - 44 000; Plein temps

Résumé du poste

Molina Healthcare is seeking an entry-level claims analyst to support provider claims research and resolution. The role focuses on timely, accurate assessment of claims issues and leveraging knowledge of processing workflows to drive improvements.

You will contribute to meeting quality and production goals while documenting investigations and outcomes. The position emphasizes collaboration across teams, attention to detail, and strong communication skills to triage issues and support continuous

Qualifications

• 1+ year of experience in medical claims processing/research or health care operations.
• Basic medical claims processing knowledge.
• Data research and analysis skills.
• Organizational skills and attention to detail.
• Time-management skills and ability to manage multiple tasks to meet deadlines.
• Customer service skills.
• Problem-solving skills.
• Ability to work independently and with cross-functional teams.
• Excellent verbal and written communication skills.
• Proficiency with Microsoft Office, including Excel.

Responsabilités

• Reviews and analyzes claims-related issues to identify potential root-cause issues and triages for research or correction.
• Triages issues based on type and complexity, assigning to the appropriate department.
• Leverages knowledge of claims processing workflows, billing practices, and regulatory guidelines to provide accurate assessments.
• Meets quality and production goals.
• Maintains detailed records of claim reviews and resolutions.
• Identifies trends in submitted issues to inform process improvements.
• Provides feedback for process improvements related to provider claims research.

Connaissances

Data research and analysis

Customer service

Problem-solving

Time management

Organizational skills

Communication skills

Independent and cross-functional work

Microsoft Excel

Outils

Microsoft Excel

Description du poste

Molina Healthcare is seeking an entry-level claims analyst to support provider claims research and resolution. The role focuses on timely, accurate assessment of claims issues and leveraging knowledge of processing workflows to drive improvements.

You will contribute to meeting quality and production goals while documenting investigations and outcomes. The position emphasizes collaboration across teams, attention to detail, and strong communication skills to triage issues and support continuous