Healthcare Claims Analyst - Zero Balance @ Boost Healthcare | Jobright.ai
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Healthcare Claims Analyst - Zero Balance jobs in United States
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Boost Healthcare · 4 days ago

Healthcare Claims Analyst - Zero Balance

positionUnited States
timeFull-time
remoteRemote
seniorityEntry, Mid Level
money$52K/yr - $80K/yr

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Responsibilities

Review contracts between hospitals and insurance carriers, model claims data, and identify lost revenue
Contact responsible party for claim payment
Prepare and forward claim appeal letters with supporting documentation for denial overturn
Establish working relationships with individuals at insurance companies
Communicate with teammates and leadership to discuss and identify trends
Contact insurance companies via phone, email, and written appeal to recover dollars
Perform analysis on large data sets to identify underpayment and denial trends
Conduct research on current laws and regulations pertaining to hospital reimbursement methodology
Contribute to client decks and weekly reports to track progress of project goals and present to leadership
Strive to maintain a personal hourly rate by meeting project metrics and goals efficiently
Attend Privacy and Security Training as required by the HIPAA Awareness Program and comply with all guidelines, policies and procedures to assure sensitive or confidential information is protected in accordance with the HIPAA rules and regulations
Other duties as assigned

Qualification

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Internet speed requirementResidency requirementDetail-orientedOrganizedTime managementPrioritizationCommunication skillsDocumentation skillsAnalytical capabilitiesFinancial acumenConfidentialityHealth InsuranceEHREMRClaims HandlingHealthcare OperationsAuditingSQLProblem-SolvingPresentationClient Relations

Required

Detail-oriented and organized with the ability to manage time effectively and prioritize competing tasks
Excellent communication skills both written and verbal
Effective documentation skills
Strong organizational skills
Possesses analytical capabilities and financial acumen
Must have private and dedicated workspace that ensures confidentiality
Base internet download speed of 10 MBPS and upload of 35 MBPS
Must reside in AZ, FL, GA, IL, LA, MA, MN, OH, OR, PA, SC, TX, or WA

Preferred

Undergraduate degree or internship in a healthcare related field
Understanding of health insurance, EHR’s, EMR’s, and claims handling
Healthcare operations experience
Understanding of auditing and reporting tools such as SQL
Presentation skills and client relations experience a plus

Benefits

Medical
Dental
Vision
401k benefits
Flexible schedule
Education stipend
Remote work stipend

Company

Boost Healthcare

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Boost Healthcare focused on helping healthcare providers to identify and recover funds from commercial and government payers.
dateFounded in 2013
location
Alameda, California, USA
people-size51-200 employees
web-link
https://www.boosthealthcare.com/

Funding

Current Stage
Growth Stage

Leadership Team

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Liana Hamilton
Managing Partner, Founder
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Company data provided by crunchbase
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