Claims Processing Analyst

Job Summary

A company is looking for an RRT Analyst to handle claim adjustments and ensure accuracy in processing.

Key Responsibilities

• Handle repricing adjustments and group exception referrals
• Collaborate with other claim department personnel to assess RRT referrals
• Track and manage projects, including accumulator updates and claim recalculations

Required Qualifications

• High School diploma or equivalent required
• Minimum of 3 years of medical claims processing experience
• Experience with the QicLink claims processing system preferred
• Proficiency in Excel and Word; ability to learn Microsoft Access
• Reliable internet connection for remote work