Senior Claims Analyst

A company is looking for a Claims Analyst-Senior. Key Responsibilities Oversee and coordinate all aspects of claims processing and reprocessing for designated lines of business Communicate with providers and members to facilitate understanding and resolution of claims Monitor claims processing functional areas to ensure efficiency and compliance Required Qualifications, Training, and Education High school diploma or equivalent required Five years of experience in claims processing/adjudication, provider billing, or health plans required Leadership experience can substitute for up to two years of experience Experience in medical terminology and ICD-10/CPT coding required Experience in computerized managed care systems preferred

May 17, 2025 - 00:36

A company is looking for a Claims Analyst-Senior. Key Responsibilities Oversee and coordinate all aspects of claims processing and reprocessing for designated lines of business Communicate with providers and members to facilitate understanding and resolution of claims Monitor claims processing functional areas to ensure efficiency and compliance Required Qualifications, Training, and Education High school diploma or equivalent required Five years of experience in claims processing/adjudication, provider billing, or health plans required Leadership experience can substitute for up to two years of experience Experience in medical terminology and ICD-10/CPT coding required Experience in computerized managed care systems preferred