Healthcare Claims Analyst

Work Location -

Few positions are locally based in Sacramento, CA and few are based is Central Valley or SoCal or both.

Qualification -

• Experienced in the healthcare industry in insurance, provider support, IT, and operations. Provider billing experience, and working knowledge of CMS-1500 and UB-04 claim forms preferred
• Hands-on experience researching, resolving, and educating providers on claim submission, denials, and reimbursement processes; Medi-Cal or Medicaid experience preferred.
• Strong analytical, organizational, and time management skills, with proven ability to manage multiple provider requests efficiently.
• Excellent verbal and written communication, presentation, and training skills for both virtual and in-person settings, with a focus on simplifying complex billing and policy topics.
• Willingness and ability to travel to conduct provider visits, outreach events, and training sessions.

Other important details-

• Must be a resident of the state of California.
• Travel required throughout the assigned geographic region to support outreach, training and other provider and account needs.
• For positions assigned to WFH, reliable high-speed internet connectivity is required. Employees working-from-home may be required to report to the office, at times, to support meetings, special training requests or other business needs. The office is in West Sacramento