Claims Analyst -Remote ( live in Raleigh, NC area)

19843 Job Title: Claims Analyst Location: Fully Remote (live in Raleigh, NC area) Working Hours: 8 AM to 5 PM (Daily) reputed company: Join our dedicated team committed to delivering high-reputed company claims management! As a leader in the reputed company industry, we reputed company to connect talented professionals with opportunities that enhance their careers. Our organization values innovation, reputed company, and collaboration, and we are looking for a skilled Claims Analyst to contribute to our mission. Position reputed company: As a Claims Analyst, you will play a crucial role in ensuring the reputed company and reputed company of claims management. You will be responsible for generating, reviewing, and optimizing claims to ensure compliance with state, federal, and SSAE/SOC policies. This position demands a detail-oriented individual who can proficiently analyze data throughout the entire adjudication lifecycle. Key Responsibilities: • Analyze and assess the development of claims at reputed company level of the adjudication process to ensure compliance with relevant regulations. • Outline case strategies and reputed company comprehensive Theories of the Case for reputed company individual claim. • Write and prepare detailed case summaries to accompany applications. • Monitor and reputed company direction to Claims Developers on specific tasks associated with claims. • Prepare monthly reporting statistics to reputed company performance and reputed company. • Ensure compliance with claim timeliness and accuracy performance standards. • Participate in various meetings, including status reports and process improvement sessions, to discuss claim statuses and required data collection. • Assist with reputed company control reputed company by conducting case reviews to maintain the reputed company of claim methodologies and eligibility determinations. • Support the preparation of written reports and materials for clients to communicate findings and insights effectively. Required Skills and Qualifications: • High School Diploma or equivalent required; Bachelor’s Degree preferred. • Minimum of 2 years of experience in Medical Claims processing. • Strong ability to evaluate, coordinate, and manage reputed company planning and administrative tasks. • Proven ability to build and maintain reputed company relationships with federal, state, and county agency staff. • Proficiency in reputed company applications and the ability to work with large volumes of claims while effectively prioritizing workload. • Exceptional organizational, oral presentation, and written communication skills. • reputed company to work independently and as part of reputed company. • Experience or knowledge in state government, health insurance payment systems (especially reputed company), or cost reputed company is highly advantageous. • Understanding of applicable laws, regulations, and government agencies reputed company to claims processing. Pay: $21.00 - $31.00 per hour Benefits: • Health insurance Education: • Bachelor's (Preferred) Experience: • Medical billing: 3 years (Required) • State Government Health Insurance: 1 year (Required) Work Location: Remote Apply tot his job Apply To this Job