Claims Analyst

The role involves researching claims data, running reports, validating and analyzing claims data as well as logging in data. Must have 2+ years of functional analysis. Must have 1-2 years of data entry experience Must have experience with healthcare claims processing. Must have advance level excel experience. Must know how to use Pivot tables as well as good word experience. If they have LuminX is a big plus.

Functional Analyst Baltimore, MD (Onsite Job) 6 Months+ CTH 100% Onsite in Downtown Baltimore, MD (Canton) Inperson Interview Required Must have: Data Entry, Claims Processing, MS Office, (Excel) PURPOSE: Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers. ESSENTIAL FUNCTIONS: 50% Research and improve operations by examining and research

Claims AdjusterIntroduction:Immediate position for a Claims Adjuster / Processor! The selected candidate will process claims AND investigate/perform adjustments of complex Healthcare (payor) claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. The selected candidate will verify healthcare insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line

Claims Adjustment experience FACETS G6 platform Medical Claims processing experience. Medical Claims Adjustment experience. Medical Terminology, Provider Refund. Subrogation, Workers Comp. Disbursements. Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizin