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Claims Analyst I (Remote Option)-Gastonia, NC
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Job Description
- Req#: 2279
Employer Industry: Healthcare Claims Management
Why consider this job opportunity:
- Salary up to competitive compensation based on experience
- Eligible for annual incentive bonus plan
- Comprehensive medical, dental, and vision insurance with low deductible/low-cost health plan
- Generous vacation and sick time accrual, plus 12 paid holidays
- Company paid life and disability insurance along with a 401(k) plan with employer match
- Remote work option available, promoting flexibility in your work environment
What to Expect (Job Responsibilities):
- Finalize claims processed for payment and maintain claims adjudication workflow, reconciliation, and quality control measures
- Reconcile provider claims payments through quality control measures and agency policies
- Assess claims adjustments for correction or recoupment and coordinate the recoupment process
- Maintain provider satisfaction by handling inquiries and providing assistance during regular business hours
- Review internal bulletins and fee schedules to ensure compliance with established procedures
What is Required (Qualifications):
- High School graduate or equivalent
- Minimum of three (3) years of experience in claims reimbursement in a healthcare setting
- Strong organizational skills and ability to manage multiple priorities
- Excellent oral and written communication skills
- Proficiency in Microsoft Office products and ability to handle a large volume of work
How to Stand Out (Preferred Qualifications):
- Experience with Medicaid Waiver requirements, HCPCS, revenue codes, ICD-10, and CMS 1500/UB04 coding
#HealthcareClaims #RemoteWork #ClaimsAnalyst #CompetitiveBenefits #CareerGrowth
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