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Claims Payment Controller
Claims Payment ControllerBoston Staffing • Las Vegas, NV, US
Claims Payment Controller

Claims Payment Controller

Boston Staffing • Las Vegas, NV, US
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  • [job_card.full_time]
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Business Analyst II

The Business Analyst II reports to the Supervisor of the Central Business Unit (CBU) and performs moderate to complex tasks within our claims platform. This position may interface with system architects and corporate staff on benefit and contract updates, and system projects to support resolution of issues.

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states : California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.

Minimum Qualifications :

  • 5-8 years claims processing or system set-up experience, managed care preferred
  • High School Diploma or GED required, some college preferred
  • General knowledge of provider contracts, fee schedules and payment methodologies
  • Knowledge of health plan benefit interpretation and set up
  • Knowledge of current compliance legislation
  • Strong interpersonal skills required
  • Demonstrated proficiency in MS Excel and Word required
  • Strong problem-solving skills required

Preferred Qualifications :

  • Responsible for quality and continuous improvement within the job scope.
  • Responsible for all actions / responsibilities as described in company controlled documentation for this position.
  • Contributes to and supports the corporation's quality initiatives by planning, communicating and encouraging team and individual contributions toward the corporation's quality improvement efforts.
  • Physical Requirements : No Additional Description Available

    Location : Nevada Central Office

    Work City : Las Vegas

    Work State : Nevada

    Scheduled Weekly Hours : 40

    The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $25.02 - $39.41

    We care about your well-being mind, body, and spirit which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

    Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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