Top 16 Claims technical support analyst Jobs in Olympia, Wa

Claims Technical Support Analyst
PSW —Olympia, WA
- $70,000 - $82,000 a year
- Full-time
- Microsoft Outlook
- Computer literacy
- HIPAA
- Health savings account
- Disability insurance
Quick Apply
12d
Senior Accountant (076)
Great Rivers Behavioral Health Administrative Services Organization —Centralia, WA
- $35 - $53 an hour
- Extended hours
- CPA
- Customer service
- 5 years
- Health insurance
- Dental insurance
Quick Apply
IT Project Managment – Entry
State of Washington Dept. of Retirement Systems —Tumwater, WA
- $85,800 - $115,416 a year
- Online Application
- Background check
- Writing skills
- Mid-level
- Free parking
- Paid training
12d
Policy Analyst or Senior Policy Analyst (Property & Casualty)
State of Washington Office of the Insurance Commissioner —Olympia, WA
- $90,000 - $130,000 a year
- Call employer
- Background check
- Microsoft Excel
- Microsoft Outlook
- Free parking
- Paid training
12d

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claims technical support analyst jobs near olympia, wa

Claims Technical Support Analyst

PSW -
Olympia, WA

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Job Details

Full-time
$70,000 - $82,000 a year
12 days ago

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Customer communication
Microsoft Outlook
Database maintenance
Provider database maintenance for medical credentialing
Managed care organization experience
Computer literacy
Regulatory compliance
HIPAA
Employee relationship building
Research
Mid-level
Technical support
3 years
Data summary reports
Records management
Bachelor's degree
Health insurance knowledge
Data management
Task prioritization
Decision making
Vendor relationship management
Vendor communication
Health information regulatory compliance
Healthcare provider information
Insurance provider collaboration
Cross-functional collaboration
Communication skills
Technical Proficiency
Hospital experience
Healthcare data reporting

Full Job Description

Summary / Objective:
The Claims Technical Support Analyst is responsible for coordination between Finance, Claims, and EDI to help manage Eligibility and Provider Data issues with payers. This position works with external payer partners (and third-party administrator vendors) to facilitate error resolution and data processing with the data coming in from various trading partners and payers.

Essential Functions:

Facilitates timely reconciliation of member eligibility files with delegated payers and communications actions as needed to impacted stakeholders.
Actively manages the ECC (eligibility, claims, compare) reports and communicates status as needed
Collaborates on maintaining accurate provider roster data as appropriate. PCP changes, anomaly issues, and effective dates
Enters and maintains provider and contract data in EZCap System. Utilizing and understanding a variety of supporting tools (e.g. Standard Data Roster (SDR), NPPES)
Provides EZCap Provider Data support to all Utilization Management (UM) and Claims staff and others as needed.
Performs audits of provider demographic information as needed.
Maintains compliance of turn-around times as required by UM and Claims.
Ensures compliance with PSW policies and procedures with special emphasis on compliance with HIPAA requirements.
Prepares executive level reporting to reflect status of member eligibility and financial impacts for consideration
Assist in development and management of active Provider Database for contracted Ancillary, PCPs & Specialists for the generation of various reports.
Assist in research of provider-related issues including demographic information, contracting status, credentialing status, claim issues and status in various databases.
Maintain and update the appropriate databases and department tools with statuses.
Work collaboratively with internal departments to ensure department goals and requirements are being met.
Supports management of vendor contract database to inform decisions, audits and renewals.
Ensures staff compliance with PSW policies and procedures with special emphasis on HIPAA requirements
Builds and leverages cross-functional collaborative relationships to facilitate a team-work oriented atmosphere and achieve company goals.
Stays informed of industry trends and actively participating in trainings provided by the company.

Knowledge/Skills/Abilities:

Set a positive example by displaying a pleasant and approachable demeanor and always remaining friendly and courteous.
Proactive team player, strong follow through, quick decision-making abilities and abilities to problem solve.
Interpersonal skills, with the ability to build strong relationships at all levels.
Strong verbal and written communication skills with customers, supervisors, and co-workers.
Strong organizational, time management and prioritization skills.
Self-starter. Ability to set priorities and keep to projected schedules.
Excellent computer proficiency (MS Office – Word, Excel and Outlook) including being able to effectively maintain written and computer records in accordance with regulatory agencies.

Required Education and/or Work Experience:

Three to five years’ experience in a health plan setting, physician group setting or hospital setting (Equivalent combination of education and experience will be considered)

Preferred Education and/or Work Experience:

Bachelor's degree

Required Certificates, Licenses and Registrations:

None required for this position.

*PSW does not typically hire at the top of the pay range *

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Flexible Spending Account (FSA)
Health Savings Account (HSA)
Health insurance
Life insurance
Paid time off
Tuition reimbursement
Vision insurance

Quick Apply

Refine Your Search

claims technical support analyst jobs in olympia, wa

Claims Technical Support Analyst

Senior Accountant (076)

IT Project Managment – Entry

Policy Analyst or Senior Policy Analyst (Property & Casualty)

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