Medical Claims Analyst

Job Summary

Working remotely, the full-time Medical Claims Analyst will manage claims processing, ensure compliance with Medicaid regulations, and utilize software tools while collaborating with healthcare teams.

Key responsibilities

• Process and analyze medical claims to ensure accuracy and compliance
• Utilize Medcompass, Rumba, and QNXT systems for claims management
• Collaborate with cross-functional teams to resolve claims issues and improve processes

Required qualifications

• 5+ years of relevant work experience in medical claims processing
• Proficiency in Microsoft Office applications
• Knowledge of Medicaid regulations and procedures
• Experience with Medcompass, Rumba, and QNXT preferred