Job Summary
An information technology and services company is filling a position for a Remote Healthcare Claims Operations Analyst.
Candidates will be responsible for the following:
- Ensuring claims approvals and/or denials are made in accordance with company practices and procedures
- Supporting implementation activities related to claims management
- Supporting the Plan Operations team with daily activities
Applicants must meet the following qualifications:
- Bachelor's degree or equivalent work experience
- Advanced skills in Microsoft Excel required
- Robust problem-solving and analytical skills
- Moderate proficiency in SQL required
- Strong organizational, problem-solving, written and verbal communication, and interpersonal skills
- At least 2-5 years of claims processing, medical billing, healthcare benefits, pharmacy benefits, and/ or commercial health insurance experience required