Healthcare Claims Functional Analyst


Elite Technical is seeking a Healthcare Claims Functional Data Analyst to support our customer, a major Healthcare Insurance organization! Our client is in need of an analyst with knowledge in Healthcare Claims documentation in order to review and triage potential issues coming in from their providers. We are seeking an analytical thinker, someone who can route different enrollment/claims issues to different team members for triage support.

This position is a contract to permanent opportunity with our client. Although 100% remote, we are seeking candidates that reside in one of the follow states: DC, MD, VA, WV, NC, PA, DE, NY, NJ, TX, FL. Want to learn more? Then you should contact Elite Technical right away for consideration!

Required Skills


- Education Level: Bachelors Degree. In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
- Experience: 2 years experience as a Claims Functional Review Analyst.
- 5+ years in Healthcare claims triage/review experience. Background in reviewing claims and triaging any document/file issues for resolution is critical knowledge to have to be successful in this position. Understanding of medical coding is claims is required. Open to claims processing.
- Must be able to review/manipulate data within an MS Excel spreadsheet. Pivot tables, v-look up - Advanced Excel skills required
-Must have strong MS Outlook skills
- Analytical skills, exception writing and communication skills
- Must be AGILE! Must be able to work within a fast paced environment.
- Must have basic knowledge of Adobe Reader (Adobe Pro considered BIG PLUS)
Preferred:
-Adobe Pro or Adobe Reader
-Luminx claims processing system
-Customer Service Background

Apply Now

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Have a Question?

Location

Telecommute

Openings

1

Anticipated Start Date

Monday, October 7, 2024

Job Type

Contract

Anticipated Duration

12 month T2P

Date Posted

Monday, September 9, 2024

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Elite Technical Services, Inc. participates in the E-Verify program to confirm the employment eligibility of all persons hired. This means that we will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's Form I-9 to confirm work authorization. Elite Technical Services, Inc. will not use E-Verify to pre-screen job applicants.

Elite Technical Services, Inc. is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.