Top 4238 Claim Process Analyst Jobs

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- Mid-level
- SQL
- Dental insurance
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Sr. Actuarial Analyst – Experience Analysis
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Revenue Cycle Analyst

Omada Health -
Remote

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Job Details

$79,200 - $103,500 a year

Benefits

Dental insurance
401(k)
Parental leave
Vision insurance

Qualifications

Data visualization software proficiency
Financial data reconciliation
Email customer support
Operations management
Achieving HIPAA compliance
Standard Operating Procedures (SOPs) implementation
Technical documentation
HIPAA implementation
Software implementation
Slack
Process design
HIPAA
Mid-level
Refund processing
Tableau
User training (technical support)
SQL
Data integrity and documentation
ICD-10
Continuous improvement
Financial workflow efficiency improvements
System validation
System testing
Healthcare financial management
Bad debt management
Accounting standards
1 year
Technical support via email
Cross-functional collaboration
Medical claim denial management

Full Job Description

Omada Health is on a mission to bend the curve of chronic disease.

Job overview:

Omada Health is seeking a Revenue Cycle Analyst to execute, document, and continuously improve Omada's Revenue Cycle Management (RCM) function. The Analyst will be expected to understand Omada's RCM framework and work with the RCM team in developing effective methods and tools to process data and drive cash collections. You will work directly with both internal and external stakeholders to ensure robust billing and efficient collection processes are in place to support our mission. Your work will ensure that Omada recovers its claims in a timely fashion, our payers are impressed with our service, and our participants can focus on improving their health. This position will be at the forefront of refining the company's processes and practices to further Omada's financial growth.

Your impact:

Process and Systems Implementation

Assist team on a smooth end-to-end billing process
Assist with any new RCM payer implementations
Assist with communication to Omada's clearinghouse on new connections and any claims management issues
Participate in cross-functional efforts to increase efficiency and effectiveness of RCM systems and processes
Identify and propose enhancements to workflows based on data, trends, and user feedback
Support testing, validation, and rollout of new or updated RCM processes to ensure accuracy and compliance

Documentation, training, and ongoing communication

Work with payers to integrate with Omada's unique billing model and educate internal stakeholders
Maintain clear, up-to-date process documentation and standard operating procedures (SOPs) for RCM workflows
Ensure all policies, procedures and initiatives are handled in a HIPAA-compliant fashion
Respond to operational questions across email, Slack, and ticketing tools
Ensure cross-functional teams have the support they need to complete requests

RCM Operations

Investigate, document, and follow up on denials and underpayments
Investigate, document, and execute refunds
Assist with achieving team Accounts Receivable and Bad Debt Reserve goals
Perform weekly bank and claim reconciliation
Complete monthly revenue integrity checks
Complete recurring work queues on a monthly basis

You will love this job if you have:

Passion for Omada's mission
1 - 3 years' experience executing revenue cycle management in a healthcare setting
Knowledge of the US healthcare system, industry terminology (e.g. CPT and ICD-10 diagnosis codes), and best practices
Advanced proficiency in Excel
Excellent written and verbal communication skills and comfort working with both technical and non-technical stakeholders
Ability to juggle both proactive scheduled tasks along with reactive escalations

Bonus points for:

Experience working with or for a healthcare clearinghouse
Understanding of Accounting principles
Knowledge of digital health and/or a startup work environment
Experience in SQL or Tableau

Benefits:

Competitive salary with generous annual cash bonus
Remote first work from home culture
Flexible Time Off to help you rest, recharge, and connect with loved ones
Generous parental leave
Health, dental, and vision insurance (and above market employer contributions)
401k retirement savings plan
Lifestyle Spending Account (LSA)
Mental Health Support Solutions
...and more!

It takes a village to change health care. As we build together toward our mission, we strive to embody the following values in our day-to-day work. We hope these hold meaning for you as well as you consider Omada!

Cultivate Trust. We listen closely and we operate with kindness. We provide respectful and candid feedback to each other.
Seek Context. We ask to understand and we build connections. We do our research up front to move faster down the road.
Act Boldly. We innovate daily to solve problems, improve processes, and find new opportunities for our members and customers.
Deliver Results. We reward impact above output. We set a high bar, we're not afraid to fail, and we take pride in our work.
Succeed Together. We prioritize Omada's progress above team or individual. We have fun as we get stuff done, and we celebrate together.
Remember Why We're Here. We push through the challenges of changing health care because we know the destination is worth it.

About Omada Health: Omada Health (Nasdaq: OMDA) is reverse engineering the way healthcare is delivered in America, putting the space between doctor visits–where health is won or lost–at the center of care. Today's healthcare system poorly serves chronic conditions that require ongoing support outside of the exam room, like obesity, diabetes, hypertension, cholesterol, and musculoskeletal conditions. Omada's virtual-first model combines human-led care teams, connected devices, and AI-enabled technology to deliver personalized care at scale, including support for GLP-1 therapy. Omada has served more than two million members since launch across 2,000+ employers, health plans, pharmacy benefit managers, and health systems. Learn more at omadahealth.com.

Omada is thrilled to share that we've been certified as a Great Place to Work! Please click here for more information.

We carefully hire the best talent we can find, which means actively seeking diversity of beliefs, backgrounds, education, and ways of thinking. We strive to build an inclusive culture where differences are celebrated and leveraged to inform better design and business decisions. Omada is proud to be an equal opportunity workplace and affirmative action employer. We are committed to equal opportunity regardless of race, color, religion, sex, gender identity, national origin, ancestry, citizenship, age, physical or mental disability, legally protected medical condition, family care status, military or veteran status, marital status, domestic partner status, sexual orientation, or any other basis protected by local, state, or federal laws.

Below is a summary of salary ranges for this role in the following geographies:

California, New York State and Washington State Base Compensation Ranges: $82,800 - $103,500*, Colorado Base Compensation Ranges: $79,200 - $99,000*. Other states may vary.

This role is also eligible for participation in annual cash bonus and equity grants.

The actual offer, including the compensation package, is determined based on multiple factors, such as the candidate's skills and experience, and other business considerations.

Please click here for more information on our Candidate Privacy Notice.

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Refine Your Search

Claim Process Analyst jobs

Revenue Cycle Analyst

Healthcare Analyst II

Healthcare Claims Quality Analyst

Claims Adjuster (Medical Liability Analyst)

Accountant

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Sr. Actuarial Analyst – Experience Analysis

Senior HEDIS Analyst/ Technical Lead - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)

Senior Software Engineer - Java/J2EE

Software Engineer II - Java/J2EE

Marketing Business Analyst

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Lead Finance Analyst, Capital Planning

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