Claims Business Process Analyst

A company is looking for a Claims Business Process Analyst to manage contract reimbursement methodologies and ensure claims payment accuracy. Key Responsibilities Manage and configure contract reimbursement methodologies in the claims payment system Test and audit claim payment accuracy and assist with provider disputes Partner with departments to maintain data integrity and improve process efficiency Required Qualifications High School Diploma / GED Must be 18 years of age or older 1+ years of health care claims processing experience Familiarity with medical terminology and Microsoft Excel Ability to work full time with flexibility for shift schedules

Mar 20, 2025 - 03:05

A company is looking for a Claims Business Process Analyst to manage contract reimbursement methodologies and ensure claims payment accuracy. Key Responsibilities Manage and configure contract reimbursement methodologies in the claims payment system Test and audit claim payment accuracy and assist with provider disputes Partner with departments to maintain data integrity and improve process efficiency Required Qualifications High School Diploma / GED Must be 18 years of age or older 1+ years of health care claims processing experience Familiarity with medical terminology and Microsoft Excel Ability to work full time with flexibility for shift schedules