Research Analyst

Remote Jobs; United States; Remote; USD 50,000 - 65,000; Full time

Job summary

A Healthcare Solutions provider is seeking a Claims Processor with 2-3 years of experience. Responsibilities include analyzing claims and providing technical solutions. A High School diploma is required, with an Associate's preferred. This role offers competitive pay, health insurance from Day 1, and additional benefits like a 401(k) plan. Join us to make a meaningful impact on community health.

Benefits

Competitive pay

Paid time off including holidays

Health insurance coverage

401(k) plan

Tuition reimbursement

Qualifications

• 2 to 3 years of claims processing experience.
• In-depth knowledge of claims payment methodology.
• Excellent research and analytical skills.

Responsibilities

• Research, analyze, and resolve projects or correspondence.
• Function as a Subject Matter Expert (SME) for the Claims department.
• Analyze complex operational claim payment problems.

Skills

Claims processing experience

Research and analytical skills

Proficiency in Microsoft Office

Education

High School Diploma or GED

Associate's Degree

Job description

Employer Industry: Healthcare Solutions

Why consider this job opportunity:

• Competitive pay with flexible work solutions including remote options
• Paid time off including holidays and opportunities for volunteer events
• Health insurance coverage for you and your dependents on Day 1
• 401(k) plan available to support your retirement savings
• Tuition reimbursement to encourage continued education and professional development
• Opportunity to make a meaningful impact on community health and well-being

What to Expect (Job Responsibilities):

• Research, analyze, and resolve projects or correspondence submitted by plans, providers, and other stakeholders
• Function as a Subject Matter Expert (SME) for the Claims department
• Analyze complex operational claim payment problems and provide technical solutions
• Identify and recommend process improvement changes for more efficient practices
• Respond to written provider inquiries and maintain accurate personal production records

What is Required (Qualifications):

• 2 to 3 years of claims processing experience
• High School Diploma or GED required; Associate's Degree preferred
• In-depth knowledge of claims payment methodology
• Excellent research and analytical skills
• Demonstrated proficiency in using computer and Microsoft Office applications

How to Stand Out (Preferred Qualifications):

• Strong keyboard and navigation skills, with the ability to learn new computer programs quickly
• Proven ability to track and follow up on multiple projects effectively

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