Medicare Claims Analyst

Job Summary

To support a growing healthcare team, the full-time remote Medicare Claims Analyst will process and review insurance claims for accuracy, analyze claim data to identify trends, and collaborate with various departments to ensure timely and compliant claims resolution.

Key responsibilities

• Review, analyze, and process healthcare insurance claims for accuracy and compliance
• Compile and analyze claims-related data to identify trends and improve workflow efficiency
• Serve as a liaison between internal departments to resolve claims issues and support process improvements

Required qualifications

• High school diploma or equivalent required; bachelor's degree in Business, Healthcare Administration, or a related field preferred
• 5-8 years of experience processing Medicare claims required
• Proficiency in Microsoft Excel and Microsoft Office Suite
• Experience with QNXT claims module required
• Strong analytical skills to review data and recommend corrective actions