[Remote] Electronic Claims Analyst

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. HCA Healthcare is committed to caring for patients with purpose and integrity, and they are seeking an Electronic Claims Analyst. The role involves processing electronic claims, resolving related issues, and improving data integrity through various responsibilities.ResponsibilitiesUpload and process electronic claimsPerform e-claim analysis that may have financial impact to the businessResearch and correct electronic claims related issues within Data ManagementWork with the Claims and Network Services Departments to resolve discrepancies with provider billing issues, such as Tax ID numbers, incorrect usage of NPI numbers, and Vendor addressesWork error reports produced by electronic load of claims dataCorrespond with providers regarding billing procedures to facilitate proper processing of e-claimsInterface with users and technical staff for data entry and electronic claims issuesKeep Data Management Manager informed of system and operational issuesLead projects for process improvement, reporting, infrastructure changes, new report definitions, etcProvide technical assistance, training, and direction to electronic claims staffParticipate in testing new claims requirements and processes in conjunction with other departmentsDevelop, document, and manage workflows for electronic claimsProvider back-up and assistance for Excelicare data loadsPerform other duties as assignedSkillsExcellent written and verbal communications skillsDemonstrated analytical skills with ability to review information to determine appropriate action and define and resolve problemsAbility to work independently and to prioritize tasksHigh School DiplomaOne year equivalent work experience requiredExperience maintaining member filesClaims experience and or knowledge of claims processesExperience in a Health Insurance environmentBenefitsComprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine servicesWellbeing support, including free counseling and referral servicesTime away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absenceSavings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counselingEducation support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of NursingAdditional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discountsCompany OverviewHCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center. It was founded in 1968, and is headquartered in Nashville, Tennessee, USA, with a workforce of 10001+ employees. Its website is https://hcahealthcare.com/.

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