Medical Claims Analyst

Job Summary

Working remotely, the full-time Medical Claims Analyst will manage claims processing, ensure compliance with Medicaid regulations, and utilize various software tools to support healthcare operations.

Key responsibilities

• Process and analyze medical claims to ensure accuracy and compliance with regulations
• Utilize software tools such as Medcompass, Rumba, and QNXT to facilitate claims management
• Collaborate with team members to resolve claims-related issues and improve operational efficiency

Required qualifications

• 5+ years of relevant work experience in medical claims processing
• Proficient in Microsoft Office applications
• Experience with Medicaid regulations and claims
• Knowledge of medical coding and billing practices
• Familiarity with claims management software such as Medcompass, Rumba, and QNXT is preferred