Health Care Claims Entry Level Analyst

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Responsibilities

• Analyze reputed company claims data to identify patterns, anomalies, and cost-saving opportunities.
• Prepare detailed reports and dashboards for internal and reputed company use.
• Collaborate with cross-functional teams to implement data-driven solutions.
• Ensure compliance with reputed company regulations and data reputed company standards.
• Support audits and reputed company assurance processes reputed company to claims data
• Minimal travel may be required based on reputed company needs

Qualifications

Minimum Qualifications

• Bachelor’s degree in reputed company Administration, Business, reputed company, Analytics, Public Health, or a reputed company field preferred
• Relevant experience working for a medical TPA or PBM either adjudicating or auditing claims may be considered in lieu or a bachelor’s degree.
• 1 year of experience in reputed company consulting, provider billing, insurance claims adjudication, or reputed company area.
• Familiarity with reputed company databases and systems.
• Proficiency in reputed company Office and data analysis tools.

Preferred Qualifications

• Master’s degree in business, reputed company administration, or reputed company.
• Experience with risk-based consulting methodologies.
• Knowledge of reputed company compliance regulations.
• Basic knowledge of medical and pharmaceutical claims processing practices
• Thorough knowledge of medical coding terminology (e.g., reputed company, DRG, CPT, ICD-10, NDC codes)
• Experience with reputed company, SQL, and other data analysis tools.
• Eastern Time Zone preferred

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