Operations Analyst

Job Summary

A company is looking for an Operations Analyst I to support Clinical Review operations.

Key Responsibilities

• Review and analyze claim appeals, coordinating with coding teams for documentation review
• Resolve claim-related inquiries and issues for customers, providers, and clients
• Research and manage claim inventory and process documentation for clinical reviews

Required Qualifications

• High school diploma or GED with at least two years of experience in operations or service-related roles
• Associate's degree may be considered in lieu of experience
• Preferred healthcare experience and familiarity with medical coding concepts
• Proficiency in Microsoft Office and experience with database systems
• Ability to manage multiple tasks in a fast-paced environment