Health Insurance Claims Analyst Remote
Description:
DSI is searching for a Claims Analyst who will p erform standard, moderately complex health insurance claims processing and quality tasks in support of outsourced services within the medical industry and functional area.
Responsibilities:
- Demonstrates knowledge and skill in assigned work processes and may serve as an informal resource for team members with less experience.
- Understands the business of the client and applies knowledge to support best practice procedures and continuous process improvement.
- Reviews, recommends, and implements modifications to procedures and workflow as necessary to ensure efficient and effective processing of claims transactions.
- Performs analyses and reports findings. Interprets, audits, and reconciles reports for accuracy or completeness.
- Maintains log records of pertinent data and provides periodic status reports. Prepares standard reports for management and clients.
- Research problems as assigned.
- Interfaces with management to resolve issues.
- Handles company confidential data according to policy and guidelines.
- dheres to existing security policies and procedures.
Requirements:
- ssociate or Bachelor's degree in business, Audit, Insurance, Healthcare, or related field preferred or equivalent work experience.
- 2 years of experience in a claim analytical, claims processing, claims configuration or QA/auditing role in healthcare required.
- 1-2 years of managed care or medical insurance experience preferred.
- Medicaid experience preferred.
- Demonstrated proficiency with claims software applications.
- Required understanding of and experience related to medical claims processing/systems.
- Proficient in MS Office. Proficiency in spreadsheet and database management tools required, including advanced knowledge of Excel and Access.
- Good communication skills
- Organization skills to balance and prioritize work.
- Problem solving skills.
- bility to multi-task.
- bility to work independently and as part of a team.
About Diversified Systems Founded in 1990, Diversified Systems is an award-winning Technology Services corporation providing all levels of IT project consulting services nationwide. DSI is headquartered in Columbus, Ohio with regional offices in the American Midwest and East Coast. We offer our consultants a number of flexible and competitive compensation benefit packages.
Diversified Systems is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.
Diversity, Equity and Inclusion DSI values authenticity and is committed to making sure our employees and partners are valued and respected. At DSI, we believe building a diverse culture is important because we know when people work together, we can achieve better results as a team. DSI realizes that everyone comes from various backgrounds. We celebrate these differences because our employees are our greatest asset as we strive to best meet the needs of those we serve. As part of our ongoing efforts, DSI is focused on advancing equality, diversity, and inclusivity by setting high standards to continually evolve our culture. This includes but is not limited to recruiting, community involvement, client delivery, and career development.