Claims Production Analyst

Job Summary

A company is looking for a Claims Production Analyst II.

Key Responsibilities

• Review, analyze, and validate complex claims ensuring accurate data management and resolution
• Lead claim denial management activities and execute advanced business processes for claims production
• Mentor and provide technical guidance to junior analysts while collaborating with partners to resolve production issues

Required Qualifications

• High School Degree or GED required; Associate's or Bachelor's degree preferred in a related field
• Minimum four years of relevant experience in healthcare claims production or insurance
• Expert proficiency in interpreting contracts and payer requirements for complex claims
• Advanced proficiency with healthcare claims processing systems and office software
• Experience mentoring or leading junior team members is preferred