Claims Analyst Manager - Remote

Overview

The Claims Analyst Manager at Genesis Orthopedics & Sports Medicine is responsible for overseeing the operations and management of claims analysts, ensuring accuracy in claims processing, and driving continuous improvement in claim handling procedures.

In Short

• Review and validate contractual adjustments and claim postings.
• Audit processed claims for accuracy and timeliness.
• Lead and support a team of claims analysts.
• Manage task assignments and workload across analysts.
• Oversee denial trending and root cause analysis.
• Prepare and distribute reports on claim status and performance.
• Ensure compliance with HIPAA and payer guidelines.
• Recommend process improvements for claim accuracy.
• Participate in audits and provide documentation.
• Stay current with coding changes and payer updates.

Requirements

• Experience in claims management or related field.
• Strong analytical and problem-solving skills.
• Knowledge of HIPAA regulations.
• Experience in team leadership and management.
• Proficiency in reporting and data analysis.
• Familiarity with orthopedic coding and payer guidelines.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced environment.
• Detail-oriented with strong organizational skills.
• Experience with EPIC systems preferred.

Benefits

• Work remotely with a flexible schedule.
• Opportunity to impact healthcare accessibility.
• Collaborative and innovative work environment.
• Professional development opportunities.
• Competitive compensation package.