Lead Health Claims & Data Analyst

Healthcare Legal Solutions LLC; Washington, Northern (District of Columbia, KY); Hybrid; USD 60,000 - 90,000; Full time

Job summary

Healthcare Legal Solutions LLC is seeking a detail-oriented professional to manage workload, review medical records, and submit compelling appeals to health insurers and governmental payers. You will communicate professionally by phone to follow up on submissions and navigate multiple systems to retrieve claims data.

The role requires sharp writing, strong organization, and the ability to analyze quantitative and qualitative data, with responsibility for preparing reports and presentations for

Qualifications

• MA degree or 2+ years relevant work experience.
• GPA of 3.0 or higher.
• Highly attentive to detail.
• Excellent organizational and time management skills.
• Clear, concise, and logical writing style.
• Creative problem-solver.
• Advanced knowledge of Microsoft Office, including Pivot Tables.

Responsibilities

• Review medical records quickly and efficiently and submit well-written appeals to health insurers and governmental payers.
• Be comfortable and professional on the telephone to follow up on submitted appeals.
• Navigate through various computer systems and applications to find information about insurance claims.
• Analyze and interpret quantitative and qualitative data
• Prepare written reports and oral presentations for current and prospective clients
• Lead the implementation of special projects as needed

Skills

Attention to detail

Time management

Written communication

Problem solving

Team collaboration

Education

MA or higher

Tools

Microsoft Office (PowerPoint, Word, Excel)

Pivot Tables

Data analysis tools (Tableau, Stata, R, Access)

Job description

Healthcare Legal Solutions LLC is seeking a detail-oriented professional to manage workload, review medical records, and submit compelling appeals to health insurers and governmental payers. You will communicate professionally by phone to follow up on submissions and navigate multiple systems to retrieve claims data.

The role requires sharp writing, strong organization, and the ability to analyze quantitative and qualitative data, with responsibility for preparing reports and presentations for