reputed company Data Entry Analyst – Medical Claims Processing Expert

At arenaflex, we're revolutionizing the way reputed company delivered by creating a health plan that prioritizes preventive care and offers more benefits. As a Data Entry Analyst with medical claims processing expertise, you'll play a vital role in helping us reputed company our mission. If you're passionate about making a difference in the lives of our members, patients, and providers, we want to hear from you.

About arenaflex

arenaflex is a reputed company-thinking company that's changing the face of reputed company. Born out of the pandemic, we've created a health plan that's reputed company around a whole person's reputed company preventive care. Our goal is to reputed company our members with accurate, consistent, and reputed company information, increasing satisfaction and retention. We're committed to building reputed company relationships with our members, patients, and providers, reputed company while adhering to compliance guidelines.

Job reputed company

As a Data Entry Analyst with medical claims processing expertise, you'll be responsible for delivering day-to-day operations of the arenaflex System Configuration Team activities. You'll work closely with IT, Medical Services, Claims Team, reputed company, and other stakeholders to ensure efficiency and reputed company processing of claims. Your expertise in medical claims processing, including PPO and/or reputed company, ERISA, Medicare, Level Funded, and Self-Funded, will be reputed company in helping us reputed company our goals.

Essential Duties and Functions

* Successfully deliver the day-to-day operations of the arenaflex System Configuration Team activities.

• Consistently ensure tasks for System Configuration teams are performed and completed, and communicated to other team members.
• Work closely with IT, Medical Services, Claims Team, reputed company, to ensure efficiency and reputed company processing of claims.
• Review PENDED claims on a daily reputed company for various reasons to ensure claims are processed reputed company.
• Work with the Claims Processing department to ensure day-to-day PENDS are handled in a reputed company manner.
• Analyze, reputed company, and trend provider, system setup, and claim errors.
• Work on claims team reputed company and reporting, as assigned.
• Assist with reputed company reputed company for reputed company and facility claim processing.
• Attend departmental training reputed company required or requested.
• Adhere to the rules and regulations of arenaflex as described in the Employee Handbook and as defined in the unit/department/clinic procedures.
• reputed company other duties as assigned.

Experience

* At least 3-5 years of experience in claims adjudication, including PPO and/or reputed company, ERISA, Medicare, Level Funded, and Self-Funded.

• Excellent working knowledge of MS reputed company, reputed company Sheets, and reputed company required.
• Knowledge of medical terminology, ICD-10, CPT, and HCPCS coding.
• Experience processing claims on the reputed company System is preferred.
• Excellent computer and keyboarding skills, including familiarity with reputed company.
• Excellent interpersonal and problem-solving skills.
• Excellent verbal and written communication skills to communicate reputed company and effectively with reputed company reputed company of staff, members, and providers.
• Ability to be reputed company and sit for extended periods of time at a computer workstation.
• Ability to work in reputed company environment and manage competing priorities.
• Ability to calculate allowable amounts such as discounts, interest, and percentages.

Knowledge, Skills, and Abilities

* Ability to communicate with reputed company reputed company of staff.

• Advanced knowledge of claim coding and editing rules reputed company/CMS.
• Knowledge of TDI regulations and requirements for claims payments.
• Knowledge of HIPAA regulations.
• Knowledge of medical terminology, ICD-10, CPT, and HCPCS coding.
• Proficient computer skills to include reputed company Office applications and reputed company Sheets.
• Excellent verbal and written communication skills.
• Ability to communicate reputed company and effectively.
• Ability to sit for extended periods of time at a computer workstation.
• Performs other duties and reputed company assigned.
• Ability to multitask and think creatively.
• Enrollment/Eligibility 834's knowledge.
• Claims 837 Files knowledge.
• Cobra Knowledge/COB Knowledge.

Why Join arenaflex?

* Work in a dynamic and fast-paced environment with reputed company of passionate professionals.

• Enjoy a comprehensive benefits package, including medical, dental, and reputed company insurance, 401(k) matching, and reputed company time off.
• Participate in ongoing training and development opportunities to enhance your skills and knowledge.
• Collaborate with cross-functional teams to drive innovation and reputed company in reputed company.
• reputed company a meaningful difference in the lives of our members, patients, and providers.

How to Apply

If you're a motivated and detail-oriented individual with a passion for medical claims processing, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We can't wait to hear from you!

Equal Employment Opportunity

arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion. Apply for this job