Healthcare Claims Analyst

A company is looking for a Client Services Analyst II who will focus on claim overpayment analysis. Key Responsibilities Utilizes CMS, state, and client billing policies to identify claims overpayments with limited oversight Participates in reviewing paid health insurance claims to uncover overpayment trends Collaborates with data miners and stakeholders to identify overpaid claims and document findings Required Qualifications 4-6 years of healthcare reimbursement experience, including claims analysis and auditing Demonstrated knowledge of healthcare claims processing, including various coding systems Experience in healthcare auditing and validating claims data accuracy preferred Familiarity with published healthcare guidelines and regulations Excellent analytical and time management skills

Jun 14, 2025 - 02:00

A company is looking for a Client Services Analyst II who will focus on claim overpayment analysis. Key Responsibilities Utilizes CMS, state, and client billing policies to identify claims overpayments with limited oversight Participates in reviewing paid health insurance claims to uncover overpayment trends Collaborates with data miners and stakeholders to identify overpaid claims and document findings Required Qualifications 4-6 years of healthcare reimbursement experience, including claims analysis and auditing Demonstrated knowledge of healthcare claims processing, including various coding systems Experience in healthcare auditing and validating claims data accuracy preferred Familiarity with published healthcare guidelines and regulations Excellent analytical and time management skills