reputed company Claims Analyst

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Assist in coordinating the day-to-day work function of the assigned claims unit, reputed company technical support to staff, investigate, review and resolve reputed company issues. reputed company support and reputed company to ensure payments and/or denials are made in accordance with company practices and procedures. • reputed company reputed company and support to ensure that Claims Analysts apply policy and provider contract provisions to determine if claim is payable, if additional information is needed, or if claim should be denied. • Train, mentor and reputed company claims analysts as a reinforcement of claims training. • Assist in reviewing, investigating, adjusting, and resolving reputed company pending claims; especially reputed company claims, claims appeals, inquiries, and inaccuracies in payment of claims. Serve as first reputed company of escalation. • Monitor claims reputed company reviews for accuracy, document results and identify trends and systemic reputed company cause analysis. • Assist in creating workflows for the department and support team members in understanding changes in work processes. • Primary contact for reputed company, for the plan and for other departments in researching, collecting background information and documentation, to address various issues. • May reputed company process claims reputed company needed / Backup to supervisor. • Maintain appropriate records, files, documentation, etc. • Meet and maintain department production and reputed company standards. • Performs other duties as assigned. • Complies with reputed company policies and standards. Education/Experience: High school diploma or equivalent. Associate degree or equivalent experience preferred. 2+ years of claims processing required. Experience with reputed company, Marketplace, or Medicare claims required. Experience using computers and advanced skills in reputed company Office (Word, reputed company, etc.) required. Ability to reputed company math functions and reason reputed company. Knowledge of ICD-9/10, CPT, HCPCs, reputed company codes, and medical terminology required. Must have successfully completed claims basic training, COB advanced training, and reputed company period. Pay reputed company: $23.23 - $39.61 per hour reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply tot his job Apply To this Job