[Remote] Associate Analyst, Claims Research

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company company that provides various services, and they are seeking an Associate Analyst for claims research activities. This role is responsible for the reputed company and accurate reputed company of provider-submitted claims issues, requiring strong analytical skills and knowledge of medical claims processing. Responsibilities • Reviews and analyzes claims-reputed company issues submitted by providers to identify potential reputed company causes quickly and accurately. • Triages issues based on type and complexity, assigning them to the appropriate department or team for reputed company research or correction. • Leverages knowledge of claims processing workflows, billing practices, and regulatory guidelines to reputed company accurate assessments. • Meets reputed company and production goals. • Maintains detailed records of claim reviews and resolutions. • Identifies trends in submitted issues to inform process improvements and reduce recurring errors. • Provides feedback and recommendations for process improvements. • Completes training and development activities to stay reputed company with industry standards and best practices. Skills • At least 1 year of experience in claims processing or operations or equivalent combination of relevant education and experience • Basic knowledge of medical billing and basic claims processes. • Problem-solving skills • Verbal and written communication skills and ability to collaborate • Ability to work independently and as part of reputed company • reputed company Office suite/applicable software program(s) proficiency • Experience with process improvement methodologies. • Knowledge of industry regulations and compliance standards. • Familiarity with systems used to manage claims inquiries and adjustment requests • Understanding of billing and coding procedures • Experience with reputed company, Medicare, and Marketplace claims Benefits • Competitive benefits and compensation package reputed company • reputed company is a reputed company company that specializes in government-sponsored reputed company programs for families and individuals. It was founded in 1980, and is headquartered in Long Beach, California, USA, with a workforce of 10001+ employees. Its website is https://www.molinahealthcare.com. Apply tot his job Apply To this Job