Claims Analyst

This is a fully remote position, open to applicants in Texas.

📋 Description

• Provide comprehensive healthcare training to guide members on billing-related inquiries.

• Advocate for members by collaborating with carriers and providers on their behalf.

• Assist in reviewing claims related to medical, dental, vision, and pharmacy for accuracy.

• Work alongside providers and carriers to resolve billing discrepancies, coding mistakes, and denied claims.

• Prepare, submit, and fully pursue the appeals process.

• Collaborate directly with clients to enhance understanding of unique care and billing circumstances.

• Coordinate with providers to identify payment plans and discount options.

⛳️ Requirements

• Bachelor’s Degree, Associate’s Degree with 2 years of billing or insurance experience, or 3 years of experience in a healthcare billing or insurance-related position.

• Capability to work effectively within a remote team setting.

• Strong problem-solving, reasoning, and analytical abilities.

• Excellent verbal and written communication skills.

• A strong desire and ability to continuously learn in a dynamic environment.

• Proficiency in organizing work activities efficiently to meet deadlines.

• Passionate about achieving the highest level of client satisfaction.

• Ability to build effective rapport with clients based on empathy and trust.

🏝️ Benefits

• Health, Dental, Vision, Life Insurance and additional benefits.

• 401k plan with a corporate matching contribution.

• 10 paid holidays per calendar year (8 fixed and 2 floating).

• 6 paid wellness days.

• Ongoing training, coaching, and professional development opportunities.

• Flexible working arrangements.