Healthcare Claims Analyst

Job Summary

A company is looking for a Blue Claim Routing Analyst, Delivery.

Key Responsibilities

• Review hospital claims data to identify potential Blue Cross Blue Shield routing opportunities
• Validate eligibility of claims for routing based on payer rules and service locations
• Evaluate potential financial impact and prioritize opportunities based on likelihood of success

Required Qualifications

• Bachelor's degree in Healthcare Administration, Finance, Business, or a related field preferred
• 1+ years of experience in healthcare revenue cycle operations, claims analysis, or payer reimbursement preferred
• Familiarity with Blue Cross Blue Shield plans or multi-payer claim environments is highly desirable
• Strong analytical skills with the ability to review large claim datasets