Claims Analyst
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Job Description
Claims Analyst consulting members on billing related issues in a healthcare navigation business. Advocating for members and resolving post-service coverage questions with carriers and providers.
Responsibilities:
- Conduct extensive health care training to consult members on billing related issues
- Advocate for members by working on their behalf with carriers and providers
- Assist in reviewing medical, dental, vision, and pharmacy related claims for accuracy
- Coordinate with providers and carriers to solve billing discrepancies, coding errors, and denied claims
- Draft, submit, and exhaust appeals processes
- Partner directly with client to raise awareness of unique care/billing situations
- Coordinate with providers to determine payment plan and discount options
Requirements:
- Bachelor’s Degree, Associate’s Degree with 2 years billing/insurance experience, or 3 years’ experience in a healthcare billing/insurance related role
- Ability to work effectively in a remote team environment
- Strong problem solving, reasoning, and analytical skills
- Exceptional verbal and written communication skills
- Strong ability and desire to learn continually in a changing environment
- Ability to efficiently organize work activities to meet deadlines
- Passion to provide the highest level of client satisfaction
- Ability to develop effective rapport with clients based on empathy and trust
Benefits:
- Health, Dental, Vision, Life Insurance and more
- 401k plan with corporate match
- 10 paid holidays per calendar year (8 fixed and 2 floating)
- 6 paid wellness days
- Ongoing training, coaching and development opportunities
- Flexible working arrangements
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