Claims Analyst

A company is looking for a Claims Analyst I (Remote-NC).

Key Responsibilities

Finalize claims processed for payment and maintain workflow, reconciliation, and quality control measures

Provide customer service by handling provider inquiries and assisting with problem claims and training issues

Review compliance and quality assurance measures, including internal bulletins and fee schedules

Required Qualifications, Training, and Education

High School graduate or equivalent

Three (3) years of experience in claims reimbursement in a healthcare setting or equivalent combination of education and experience

Working knowledge of Medicaid Waiver requirements, HCPCS, revenue codes, ICD-10, and claims adjudication software

Strong organizational skills and ability to manage multiple priorities

Ability to maintain confidentiality of sensitive data