Senior Claims Analyst

University Health; Texas; On-site; USD 52,000 - 76,000; Full time

Job summary

University Health in Texas seeks a Claims Department coordinator to organize, analyze, and improve performance. You will coordinate projects, collect data, document processes, and work with multiple teams to optimize claims operations and meet benchmarks.

This role requires a high school diploma, five years of claims experience, and preferred supervisory experience. Proficiency in Word, Excel, and PowerPoint is required, with familiarity in Medicaid, Medicare, and commercial claims.

Qualifications

• High school diploma required.
• Five years claims experience required.
• 1–2 years supervisory experience preferred.
• Medicaid, Medicare and Commercial claims experience required.
• 3+ years project coordination in a managed care environment preferred.
• Proficiency in Word, Excel, and PowerPoint required.

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.
• Provides project coordination through research, data collection and analysis to identify areas for increased operational efficiency, productivity and accuracy.
• Interacts with other CFHP departments and helps ensure systems, processes and reports enable the Claims Department to meet benchmarks.

Skills

Claims processing

Supervisory experience

Data analysis

Process improvement

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.