Claims Analyst

Job Summary

Detail-oriented individuals will find a remote full-time Claims Analyst position responsible for accurate claims processing, member eligibility determination, and collaboration with team members to enhance workflow in the healthcare sector.

Key Responsibilities

• Review and process healthcare claims and member maintenance requests, ensuring thorough verification of eligibility criteria
• Identify and resolve errors in claims applications while adhering to standard operating procedures for compliance and accuracy
• Enter and document data meticulously into the claims management system, maintaining comprehensive records for audit requirements

Required Qualifications

• At least a high school diploma or GED is required
• Previous healthcare industry experience is preferred but not mandatory
• Proficiency in claims processing and data management
• Strong client-centric approach with a passion for delivering accurate results
• Ability to work cooperatively in a dynamic team environment