Senior Claims Analyst

University Health; San Antonio (TX); On-site; USD 60,000 - 85,000; Full time

Job summary

University Health is seeking a Claims Department coordinator to analyze and improve departmental performance, document processes, and support change implementations. The role involves coordinating projects through data collection and research while collaborating with CFHP departments to meet benchmarks.

The ideal candidate will have extensive Medicaid, Medicare, and Commercial claims experience, plus 5 years in claims and 1–2 years supervisory experience.

Qualifications

• High school diploma required.
• Five years claims experience required.
• One to two years supervisory experience preferred.
• Medicaid, Medicare and Commercial claims experience required.
• Proficiency in Word, Excel, and PowerPoint required.

Responsibilities

• Coordinate, analyze, and improve departmental performance.
• Document business processes and research best practices.
• Assist process owners to implement change and monitor performance.
• Provide project coordination through research, data collection and analysis.
• Interact with other CFHP departments to meet internal and external benchmarks.

Skills

Analytical thinking

Attention to detail

Project coordination

Education

High school diploma

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

POSITION SUMMARY/RESPONSIBILITIES

Acts as Claims Department resource to coordinate, analyze, and improve departmental performance. Identifies areas for improvement, documents business processes, researches best practices, compiles information and assists process owners to implement change and monitor performance. Responsible for providing project coordination through research, data collection and analysis to identify areas for increased operational efficiency, productivity and accuracy. Interacts with other CFHP departments. Helps ensure that systems, processes and reports enable the Claims Department to meet internal and external benchmarks.

EDUCATION/EXPERIENCE

High school diploma required. Five (5) years claims experience is required. One to two (1-2) years supervisory experience preferred. Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years’ experience project coordination in a managed care environment is preferred. Proficiency in Word, Excel, and Powerpoint, is required.