Medical Claim Analyst
Yesterday
Description
• Inspects and provides accurate claim information • Responds to customers on benefit inquiries • Maintains customer service standards • Administers policies and procedures for medical cost management • Coordinates support functions for claim adjudication • Executes both routine and non-routine business support tasks under limited supervision • Follows area protocols, standards, and policies • Reviews provider billing practices to identify trends and cost savings opportunities • Conducts training programs related to claim billing appropriateness and health plan guidelines • Tests automated code review programs
Requirements
• Working knowledge of problem solving and decision making skills • 5+ years work experience • High school diploma or equivalent required
Benefits
• Full range of medical, dental, and vision benefits • 401(k) retirement savings plan • Employee Stock Purchase Plan • Fully-paid term life insurance plan • Short-term and long term disability benefits • Well-being programs • Education assistance • Free development courses • CVS store discount • Discount programs with participating partners • Paid Time Off (PTO) • Paid holidays
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