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Claims Analyst III - Remote

Posted 2 days ago
Finance / Legal
Full Time
Worldwide

Overview

The Claims Analyst III at TREND Health Partners is responsible for identifying, analyzing, and recovering claim overpayments for clients in the healthcare sector, ensuring accurate and timely claims processing.

In Short

  • Identify and recover claim overpayments for health insurance clients.
  • Validate claims and ensure algorithm accuracy.
  • Review and resolve disputed overpayments.
  • Research CMS and Medicaid claims processing policies.
  • Analyze medical and pharmacy claims data.
  • Assist management with concept approvals.
  • Train and assist new analysts.
  • Collaborate with team members to meet goals.
  • Provide feedback on algorithm effectiveness.
  • Represent TREND and clients professionally.

Requirements

  • Bachelor’s degree in accounting, business, healthcare, or related field.
  • 5+ years of experience in claims overpayment analysis.
  • Strong understanding of medical terminology.
  • Excellent computer skills, especially in Excel.
  • Strong analytical and problem-solving skills.
  • Effective communication and interpersonal skills.

Benefits

  • Competitive salary.
  • Health insurance.
  • 401(k) plan with employer match.
  • Paid parental leave.
  • Collaborative work environment.

T.H.P

Trend Health Partners

Trend Health Partners is a tech-enabled payment integrity company dedicated to enhancing collaboration between payers and providers in the healthcare sector. With a mission focused on waste reduction and improved access to healthcare, the company leverages a shared technology platform to align the goals of both parties. Trend Health Partners fosters a dynamic and innovative work environment, offering a comprehensive compensation package that includes competitive salaries, health insurance, a 401(k) plan with employer match, and paid parental leave. The organization is committed to driving real results in the revenue cycle space through strategic marketing initiatives and a collaborative culture.

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