| Claims Data Analyst (MUST Healthcare) REMOTE NO H1B NO CPT at Remote, Remote, USA |
| Email: [email protected] |
| From: Ankit Upadhyay, Pivotal Technologies [email protected] Reply to: [email protected] Client is looking for Claims/Data Analyst with encounter processing background (heavy claims processing experience) Client: Carelon REMOTE Rate : $40-42/ hr c2c Job Description: Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc.). Primary duties may include, but are not limited to: Able to handle more complex claim with a good understanding of the application of benefit contracts, pricing, processing, policies, procedures, government regs, coordination of benefits,& healthcare terminology. Good working knowledge of claims and products, including the grievance and/or re-consideration process. Excellent knowledge of the various operations of the organization, products, and services. Reviews, analyzes and processes claims/policies related to events to determine extent of company's liability and entitlement. Researches and analyzes claims issues. Responds to inquiries, may involve customer/client contact. Requires a HS diploma or equivalent and a minimum of 1 year of claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc.); or any combination of education and experience which would provide an equivalent background. Thanks & Regards, Ankit Upadhyay IT Recruiter Office: +1 ( 703) 570-8775 (Ext-217) Email- [email protected] Keywords: information technology |
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| Mon Dec 18 20:29:00 UTC 2023 |