Senior Healthcare Claims Analyst

Job Summary

Working remotely, the full-time Senior Healthcare Claims Analyst will manage claims processing, ensure compliance with healthcare regulations, and collaborate with cross-functional teams to enhance operational efficiency.

Key responsibilities

• Oversee the processing and adjudication of healthcare claims to ensure accuracy and compliance
• Collaborate with internal teams to identify and implement process improvements
• Conduct audits and analyses to ensure adherence to regulatory standards and company policies

Required qualifications

• Bachelor's degree in a relevant field or equivalent experience
• Minimum of 3 years of experience in healthcare claims processing or related roles
• Strong understanding of healthcare regulations and compliance requirements
• Experience with claims management systems, particularly Facets
• Proven ability to analyze data and generate reports for management review