Senior Claims Analyst: Drive Accuracy & Issue Resolution

ModivCare Solutions, LLC

Denver (CO)

On-site

USD 61,000 - 80,000

Full time

14 days+

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Benefits offered by this job

Medical insurance
Dental insurance
Vision insurance
Life insurance
401(k) with company match
Paid time off
Parental leave
Disability insurance
Employee discounts

Job summary

ModivCare Solutions, LLC is seeking a claims processing specialist in Denver, CO. The role focuses on implementing efficient claims processes, auditing accuracy, and collaborating with systems design to implement improvements.

You will review claims for irregularities, request information as needed, and coordinate documentation and payments while mentoring junior team members. A Bachelor's degree and 5+ years of experience are expected.

Qualifications

  • Bachelor's degree required.
  • 5+ years of experience in claims processing.
  • Strong understanding of claims processing and eligibility.

Responsibilities

  • Reviews claims for irregularities, accuracy and completeness.
  • Requests additional information for completion of claim processing.
  • Coordinates documentation, invoice disputes and account payments.
  • Analyzes accounts and researches payment discrepancies.

Skills

Attention to detail
Data entry
Analytical mindset
Verbal and written communication
Independent and team work
Typing 10-key
Problem-solving

Education

Bachelor's Degree

Tools

Microsoft Word
Microsoft Excel
Microsoft Outlook

Job description

ModivCare Solutions, LLC is seeking a claims processing specialist in Denver, CO. The role focuses on implementing efficient claims processes, auditing accuracy, and collaborating with systems design to implement improvements.

You will review claims for irregularities, request information as needed, and coordinate documentation and payments while mentoring junior team members. A Bachelor's degree and 5+ years of experience are expected.

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