MAC Appeals & BI Analyst

Inmar Intelligence; Winston-Salem (NC); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Medical, Dental, and Vision insurance

401(k) retirement plans with company b

Flexible time off and holidays

Job summary

Inmar Intelligence in Winston-Salem, NC is seeking a BI Representative to audit MAC/exception data and support client initiatives. You will prepare standard MAC reports, run data-driven audits, and interact with carriers and clients to ensure accurate reimbursements.

Responsibilities include pulling data, submitting MAC appeals, testing product enhancements, and maintaining HIPAA compliance in client communications. This role requires analytical thinking and collaboration across teams.

Qualifications

• At least 2 years of relevant experience involving customer service, computer usage, data entry and data analysis AND an Associate’s degree in Business Administration, Accounting, or a related field; OR an equivalent combination of training and experience required to complete the essential functions/job responsibilities of the position
• Proficient in Microsoft Office Suite, Microsoft Windows
• Competent in 10 Key Manual Entry, Google Office Suite

Responsibilities

• Audit MAC and contract exceptions and support client initiatives
• Run reports and create uploads to vet and submit claims for MAC appeals
• Create and deliver standard MAC reporting on a weekly basis to the client
• Interact with internal and external parties; pull data for QBRs/MBRs and audits
• Upload claims in the Audit Management App and tag in Pharmacy Management tool

Skills

Analytical

Data entry

Customer service

Education

Associate degree in Business Administration or Accounting

Tools

Microsoft Office Suite

10-Key Manual Entry

Google Office Suite

Job description

Inmar Intelligence in Winston-Salem, NC is seeking a BI Representative to audit MAC/exception data and support client initiatives. You will prepare standard MAC reports, run data-driven audits, and interact with carriers and clients to ensure accurate reimbursements.

Responsibilities include pulling data, submitting MAC appeals, testing product enhancements, and maintaining HIPAA compliance in client communications. This role requires analytical thinking and collaboration across teams.