Remote Claims Business Analyst

Job Summary

A company is looking for a Business Analyst - Claims (Remote).

Key Responsibilities

• Lead implementation of EDI 837 and proprietary claims files for multiple health plans
• Analyze claims data and identify data quality or ingestion issues
• Perform root cause analysis to resolve errors in claims processing

Required Qualifications

• Strong experience in healthcare claims processing
• Deep expertise in EDI transactions (especially 837)
• Proven experience implementing 837 claims files and proprietary claims formats
• Hands-on experience with root cause analysis and data issue resolution
• Ability to work independently in a fast-paced environment