Claims Analyst - Remote

Overview

This role is perfect for someone who is passionate about transforming healthcare technology through data-driven insights and strong client partnerships!

In Short

• Understand how to interpret healthcare correct coding policies and claims edits
• Explain healthcare policy edits to clients
• Increase policy adoption and drive savings rates per client
• Use data to make policy review recommendations
• Oversee policy implementation including prioritizing policies to present
• Attend client implementation meetings and serve as primary content spokesperson
• Develop timelines for client creation requests
• Ensure client policy requests are understood and executed
• Analyze clients’ adoption trends
• Be accountable for gathering and explaining content policy review materials

Requirements

• 3-6 years of work experience in payment integrity with a health plan or claims editing vendor
• Coding, Billing, and/or Auditing Credentials or any certified coding specialty
• Advanced Google Suite skills
• Deep knowledge of claims edits’ top error reasons
• Expert in interpreting medical policies and applying correct coding guidelines
• Expertise in multiple medical coding and/or billing specialties
• Strong verbal communication skills
• Experience presenting on client calls and negotiating client requests

Benefits

• Freedom to work from wherever you work best
• Meaningful equity and 401k matching
• Unlimited PTO and wellness reimbursements
• Comprehensive health plans with generous contribution to premiums
• Mental and physical wellness support