Healthcare NSA Analyst
Contract Independent
Contract Corp To Corp
Contract W2
12 Months
No Travel Required
Remote
$60 - $65/hr
Goldenpick Technologies LLC
Fitment
Dice Job Match Score™
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Job Details
Skills
- EDI
- 837
- claims
Summary
Position : Healthcare NSA Analyst
Location : Remote
Duration : 1+ year
Location : Remote
Duration : 1+ year
Job Summary
- We are seeking a detail-oriented Healthcare NSA (No Surprises Act) Analyst to support compliance and claims resolution processes related to federal No Surprises Act requirements. The ideal candidate will bring strong local claims processing knowledge, hands-on EDI experience, and a solid understanding of Blue Card and HRP-to-TPA workflows to ensure accurate, compliant, and timely claims handling.
Key Responsibilities
- Review, process, and analyze claims impacted by the No Surprises Act (NSA), ensuring compliance with federal regulations and payer-specific requirements
- Apply local claims processing knowledge within HRP (Health Rules Payer) to identify, research, and resolve claim discrepancies
- Analyze and troubleshoot EDI transactions, with particular focus on 837 (claims submission) files, identifying and correcting errors or rejections
- Support Blue Card claims processing, coordinating between local plans and host/home plans as needed
- Manage and understand HRP-to-TPA (Third Party Administrator) workflows, ensuring accurate data exchange and claims handoff between systems
- Investigate and resolve claim pricing, adjudication, and payment issues related to NSA-eligible services
- Collaborate with cross-functional teams (claims, compliance, IT/EDI, provider relations) to identify root causes of processing issues and recommend solutions
- Maintain documentation of NSA-related claims decisions, workflows, and process improvements
- Monitor regulatory updates related to the No Surprises Act and assess impact on internal processes
- Support audits, reporting, and quality assurance related to NSA claims compliance
Required Qualifications
- Experience with local claims processing in HRP (Health Rules Payer) or similar claims platform
- Hands-on experience with EDI files, specifically 837 transactions
- Working knowledge of Blue Card processes and/or HRP-to-TPA workflows
- General healthcare industry knowledge, including claims lifecycle, adjudication, and payer/provider relationships
- Strong analytical and problem-solving skills
- Ability to interpret regulatory requirements (No Surprises Act) and translate them into operational processes
- Excellent attention to detail and organizational skills
- Strong written and verbal communication skills
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
- Dice Id: 91164342
- Position Id: 942-36890-1787867586
- Posted 3 hours ago
Company Info
About Goldenpick Technologies LLC
GoldenPick Technologies is a cutting-edge career search and leadership hiring firm that leverages innovative recruitment solutions to deliver exceptional talent. With over 20 years of industry expertise, we provide our clients with a high-caliber resource pool through our intelligent search and selection process. Our robust internal processes ensure precise candidate matching for current and future requirements. We prioritize client satisfaction, delivering prompt solutions with diligence, continuous feedback, and personal accountability.
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