Similar Jobs
See allMedical Claims Processor I (Temporary role)
Broadway Ventures
US
ICD-10
CPT
HCPCS
Claims Auditor, Reviewer and Coder
Advanced Technologies & Laboratories International, Inc.
US
Medical Coding
Data Analysis
Microsoft Office
Priority Claims Specialist
Jobgether
US
Medical Billing
Insurance Claims
Data Analysis
Analyst, Contract Operations
Lumicera
US
Data Analysis
Excel
Analytics
Claims Support Advocate (Temp)
Included Health
US
Customer Service
Communication
Problem Solving
Job Summary:
- Responsible for system pricing development and support functions for contract financial analysis.
- Coordinate internal/external audit requests and perform routine and ad hoc reporting.
- Maintain an understanding of provider contracts.
Required Qualifications:
- Bachelor's degree in Finance, Accounting, or Math with 6 years experience in health care, or 8 years experience.
- 6 years experience interpreting provider contracts and system requirements in a managed care environment.
- 5 years experience with claims adjudication systems (Blue Chip, MHS, HMO) and knowledge of coding practices.
Benefits:
- Health and wellness benefits, including medical, dental, and vision.
- 401(k) savings plan, pension plan, and paid time off.
- Paid parental leave, disability insurance, and tuition reimbursement.
Health Care Service Corporation
HCSC is a health insurance company dedicated to expanding access to high-quality, cost-effective health care. With over 80 years of experience, they foster a collaborative and inclusive culture that values employee development and diversity.