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!
- 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
Telecommute
1
Monday, October 7, 2024
Contract
12 month T2P
Monday, September 9, 2024
Know someone who would be a good fit? We pay for referrals!