Claims Processor Analyst jobs in United States
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Harris Health · 6 hours ago

Claims Processor Analyst

Harris Health System is affiliated with Community Health Choice, a non-profit managed care organization serving over 400,000 members. The Claims Processor Analyst is responsible for processing various medical claims, ensuring compliance with industry standards and regulations, and demonstrating the organization's values in every aspect of their work.

Hospital & Health Care

Responsibilities

Processing professional, inpatient, and outpatient facility claims
Perform updates based on COB status, eligibility reinstatements, and retro-authorization approvals
Apply relevant rules and regulations specific to coding, providers, plan benefits, contracts, state, and federal guidelines
Demonstrate Harris Health and Community Health Choice values, including trust, integrity, mutual respect, diversity, responsiveness, and caring service

Qualification

Healthcare claims operationsMedical terminologyProcedure codingAnalytical problem solvingClaims software usageMicrosoft OfficeMathematicsResearchWriting skills

Required

High School Diploma, GED or Equivalent
4 years relevant experience to include: One (1) year In-house healthcare claims operations experience and/or Two (2) years healthcare claims operations experience
Microsoft Office (Word, Excel, Outlook)
Working knowledge of medical procedures and terminology; Procedure Coding; analytical problem solving
Basic knowledge of claims software usage
Ability to speak, listen and write effectively
Quick learner with the ability to adjudicate professional and facility claims, applying appropriate reimbursement methodologies
Ability to problem solve and work independently
Writing /Composing (Correspondence / Reports)
Analytical
Mathematics
Medical Terminology
Research
MS Word
Flexible work schedule

Company

Harris Health

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At Harris Health, we champion better health for our patients, their families and our community, by connecting all to an integrated healthcare system that provides high-quality healthcare.

Funding

Current Stage
Late Stage

Leadership Team

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Esmaeil Porsa
President and CEO
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Victoria Nikitin, CPA, MBA, FHFMA
Executive Vice President and Chief Financial Officer
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Company data provided by crunchbase