Medicare Claims Business Process Analyst

Job Summary

A company is looking for a Medicare Claims Business Process Analyst.

Key Responsibilities:

• Automate manual claims processing
• Review and compare data in the claims processing system
• Serve as a subject matter expert on claims processing guidelines and regulations

Qualifications:

• College degree required with 5+ years of relevant professional Medicare Claims operations experience
• Proficiency in MS Office applications, especially Word and Excel
• Knowledge of ICD-10, CPT, HCPCS coding, HIPAA, and CMS Medicare Claims processing requirements
• Ability to analyze claims data and present findings
• Ability to train and guide teams through process changes