Health Care Claims Analyst – Entry Level
Job Description:
• Analyze healthcare claims data to identify patterns, anomalies, and cost-saving opportunities.
• Prepare detailed reports and dashboards for internal and client use.
• Collaborate with cross-functional teams to implement data-driven solutions.
• Ensure compliance with healthcare regulations and data privacy standards.
• Support audits and quality assurance processes related to claims data
• Minimal travel may be required based on client needs
Requirements:
• Bachelor’s degree in Healthcare Administration, Business, Accounting, Analytics, Public Health, or a related field preferred
• Relevant experience working for a medical TPA or PBM either adjudicating or auditing claims may be considered in lieu or a bachelor’s degree.
• 1 year of experience in healthcare consulting, provider billing, insurance claims adjudication, or related area.
• Familiarity with healthcare databases and systems.
• Proficiency in Microsoft Office and data analysis tools.
Benefits:
• Health insurance
• Retirement plans
• Paid time off
• Flexible work arrangements
• Professional development
• Analyze healthcare claims data to identify patterns, anomalies, and cost-saving opportunities.
• Prepare detailed reports and dashboards for internal and client use.
• Collaborate with cross-functional teams to implement data-driven solutions.
• Ensure compliance with healthcare regulations and data privacy standards.
• Support audits and quality assurance processes related to claims data
• Minimal travel may be required based on client needs
Requirements:
• Bachelor’s degree in Healthcare Administration, Business, Accounting, Analytics, Public Health, or a related field preferred
• Relevant experience working for a medical TPA or PBM either adjudicating or auditing claims may be considered in lieu or a bachelor’s degree.
• 1 year of experience in healthcare consulting, provider billing, insurance claims adjudication, or related area.
• Familiarity with healthcare databases and systems.
• Proficiency in Microsoft Office and data analysis tools.
Benefits:
• Health insurance
• Retirement plans
• Paid time off
• Flexible work arrangements
• Professional development