Sr Analyst QA Behavioral Health Claim Processing

Location: Remote

Compensation: Hourly

Staff Reviewed: Wed, Apr 10, 2024

This job expires in: 6 days

Job Category: Management

Weekly Hours: Full Time

Career Level: Experienced

Job Summary

A company is looking for a Sr Analyst, QA for Behavioral Health Claim Processing.

Key Responsibilities:

Maintain specialized knowledge of Behavioral Health claim processing and policy impacts
Lead various claim and benefit reviews and handle compliance and legal claim reviews
Advocate for members by improving timeliness and accuracy of Behavioral Health claim payments

Required Qualifications:

3+ years of ACAS Medical/Hospital Claim Processing experience
Experience with Claims/Policies & Procedures
Thorough knowledge of investigating, analyzing, and effecting corrective action
Ability to analyze data and draw conclusions
High School Diploma

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