Remote Healthcare Claims & Operations Analyst

Ultimate Staffing; Roseville (MN); Remote; USD 67.000 - 75.000; Vollzeit

Benefits dieser Stelle

Medical coverage

Dental coverage

Vision coverage

Short-term disability

Life insurance

401(k) plan

ESOP

Tuition reimbursement

Phone & internet reimbursement

Annual bonus

Zusammenfassung

Ultimate Staffing is seeking a Healthcare Operations Analyst for a fully remote position. The role focuses on analyzing healthcare claims, payer policies, and reimbursement issues to drive operational improvements while collaborating with internal teams.

Monday–Friday, 8:00 AM–4:30 PM, with temp-to-hire potential. Qualified candidates have 3+ years in healthcare operations, experience with Salesforce, and strong analytical and communication skills.

Qualifikationen

• Analyze healthcare claims, reimbursement issues, and payer policy discrepancies.
• Conduct root cause analysis to identify and resolve operational and payment issues.
• Support contract administration, compliance activities, and operational initiatives.
• Research and resolve escalated payer and claims-related concerns.
• Review and interpret payer policies, reimbursement guidelines, and documentation requirements.
• Assist with audits, appeals, and compliance-related activities.
• Utilize Salesforce to track cases, workflows, escalations, and reporting.
• Collaborate with internal teams to improve operational processes and efficiencies.
• Maintain accurate records, documentation, and reporting.

Aufgaben

• Analyze healthcare claims, reimbursement issues, and payer policy discrepancies.
• Conduct root cause analysis to identify and resolve operational and payment issues.
• Support contract administration, compliance activities, and operational initiatives.
• Research and resolve escalated payer and claims-related concerns.
• Review and interpret payer policies, reimbursement guidelines, and documentation requirements.
• Assist with audits, appeals, and compliance-related activities.
• Utilize Salesforce to track cases, workflows, escalations, and reporting.
• Collaborate with internal teams to improve operational processes and efficiencies.
• Maintain accurate records, documentation, and reporting.

Kenntnisse

Data analysis

Root cause analysis

Communication

Investigative mindset

Remote work

Process improvement

Tools

Salesforce

Jobbeschreibung

Ultimate Staffing is seeking a Healthcare Operations Analyst for a fully remote position. The role focuses on analyzing healthcare claims, payer policies, and reimbursement issues to drive operational improvements while collaborating with internal teams.

Monday–Friday, 8:00 AM–4:30 PM, with temp-to-hire potential. Qualified candidates have 3+ years in healthcare operations, experience with Salesforce, and strong analytical and communication skills.