Senior Claims Research Analyst

Job Summary

A company is looking for a Senior Analyst, Claims Research.

Key Responsibilities

• Conduct advanced research and analysis for high-priority claims projects
• Lead and manage complex claims research projects and identify systemic processing errors
• Provide insights and present findings to leadership and operational teams

Required Qualifications

• 5+ years of experience in medical claims processing or a related field
• Expertise in regulatory and contractual claims requirements and root cause analysis
• Advanced knowledge of medical billing codes and claims adjudication processes
• Proficiency in claims management systems and data analysis tools
• Bachelor's Degree or equivalent combination of education and experience preferred