Claims Processor Analyst jobs in United States
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Harris Health · 8 hours ago

Claims Processor Analyst

Harris Health is a non-profit managed care organization that serves over 400,000 members through various health programs. The Claims Processor Analyst is responsible for processing medical claims and performing updates based on eligibility and authorization approvals while adhering to relevant rules and regulations.

Hospital & Health Care
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H1B Sponsor Likelynote

Responsibilities

Processing professional, inpatient, and outpatient facility claims using knowledge of industry standard practices for processing medical 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, as well as Community Health Choices policies and procedures

Qualification

Healthcare claims operationsMedical terminologyProcedure codingAnalytical problem solvingClaims software usageMicrosoft OfficeMathematicsResearchCommunication 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
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
Basic knowledge of claims software usage
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.

H1B Sponsorship

Harris Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (11)
2024 (6)
2023 (6)
2022 (7)
2021 (9)
2020 (7)

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