The Data Claims Analyst is an exciting and fundamental part of the company structure.
This team processes incoming claims and internal tickets on a daily basis ensuring they are processed clearly and within compliance standards. This requires problem solving skills, adherence to policy, and willingness to learn new workflows on a consistent basis.
Become an in-house expert on all department related matters to answer questions
Support the department by identifying issues and presenting resolutions
Contribute to team wide goals to improve processes and integrate additional functions into our daily operations.
A curious mind
Attention to detail
Willingness to grow, learn, and work as a member of a cross-functional team
Strong quantitative analysis skills
Strong verbal and written communications, and interpersonal interactions
Ability to work independently and drive projects to completion
Working hours: 8:00 AM - 5:00 PM
A bachelor's degree
In-depth knowledge of claims processing protocols and payment schemes
Thorough knowledge of adjustment processing, medical terminology, CPT, and revenue codes
Experience handling Personal Health Information (PHI) in a professional manner
Experience manipulating and entering accurate data in a production-driven environment
Strong Excel and initial SQL skills (or the ability to pick it up quickly)
Demonstrated capacity to balance competing priorities and continue to execute projects with excellence
Proven track record in leading peers in organic and formal settings
Currently this is work from Home position.
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.