VillageCare · 2 weeks ago
HealthCare Claims Analyst
New York, NY
Full-time
Hybrid
Mid, Senior Level
$58K/yr - $65K/yr
3+ years expVillageCare is a community-based, not-for-profit organization focused on providing healthcare services. The Full-Time HealthCare Claims Analyst will be responsible for healthcare claims reporting and processing, conducting audits, and ensuring compliance with regulations while contributing to the development of policies and quality assurance measures.
Health CareHospitalNon Profit
Responsibilities
Conduct audits and perform root cause analysis to resolve identified issues with internal teams and third-party administrators (TPAs)
Identify gaps in various aspects of claims processing, communicating trends and contract issues to management
Prepare comprehensive narratives and visual aids for leadership presentations
Coordinate workflows across departments and ensure compliance with regulations
Contribute to the development of policies and quality assurance measures
Evaluate claims system coding to validate pricing and improve overall operational efficiency
Qualification
Required
Bachelor's Degree required ideally in a relevant field such as Computer Science, Mathematics, Statistics, and/or Engineering
Minimum of 3-5 years' experience in business intelligence and analytics performing increasingly complex data analysis and report/dashboard development preferably in a healthcare setting
Knowledge of medical terminology, ICD-10, CPT, HCPCS coding CMS guidelines and EncoderPro are required
Must be able to work independently with high level of productivity and advanced written and verbal communication skills
Excellent technical skills (MS Excel, SQL, Tableau, Access, etc.)
Strong communication skills
MUST RESIDE IN NY, NY OR CT
Preferred
Master's degree preferred
Benefits
Medical
Dental
Vision
Life Insurance
Health Savings Account
Competitive Salary
Paid Time Off
Company
VillageCare
VillageCare is a creative and creative ongoing care firm that helps hard to understand the present condition of need for people they serve.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Debra Tirado
Chief Financial Officer
Recent News
Business Journals
2023-04-26
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