Experienced Claims Business Analyst

This is a fully remote position, open to applicants in Nevada, +1 more state.

📋 Description

• Assist in the comprehensive analysis of claims workflows and resolve intricate issues.

• Evaluate claims data to pinpoint denial patterns and operational impediments.

• Offer practical recommendations and documentation for resolving issues.

• Work alongside cross-functional teams to uphold data integrity.

• Create reporting and monitoring tools to derive insights.

⛳️ Requirements

• Over 9 years of experience in claims business analysis, configuration, or healthcare operations.

• In-depth understanding of healthcare claims processing, including coding (ICD-10, CPT, modifiers).

• Proficient in SQL with experience in analyzing extensive datasets to uncover trends.

• Demonstrated ability to address complex issues and collaborate within client/vendor settings.

• Excellent communication, collaboration, and stakeholder engagement capabilities.

🏝️ Benefits

• Flexible vacation policy.

• Educational assistance.

• Comprehensive health benefits.

• 401(k) employer match.

• Leadership development academies.

• Technical development academies.