Top 500 Claims analyst Jobs in Anywhere.+remote

Claims Analyst (Troy, MI)
BeneSys, Inc. —Remote
- $25 - $27 an hour
- Full-time
- Remote
- Customer service
- Writing skills
- Basic math
- AD&D insurance
- Paid holidays
Quick Apply
8d
Healthcare Claims Quality Analyst
Integra Partners —Remote
- $24 an hour
- Full-time
- Remote
- Spanish
- English
- Mid-level
- Paid parental leave
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Claims Analyst - REMOTE
Ryder System —Atlanta, GA
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
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- Senior level
- Disability insurance
- Health insurance
Entry Level Claims Analyst - Workers' Compensation
Aspirion —Columbus, GA
- $17.45 - $19.00 an hour
- Full-time
- Remote
- Computer literacy
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Swyfft —Seattle, WA
- Full-time
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- Computer science
- Microsoft Outlook
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- Health savings account
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Payment Integrity Analyst - Data Mining
Lyric —Remote
- $24.20 - $36.30 an hour
- Full-time
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- HIPAA
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Plan Testing Analyst
CVS Health —Washington, DC
- $21.10 - $49.08 an hour
- Full-time
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- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
6d
Out of Network Dispute Resolution Analyst
UnitedHealthcare —Richardson, TX
- $20 - $36 an hour
- 8 hour shift
- Remote
- Microsoft Word
- 18 years or older
- Microsoft Outlook
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1d
Claims Analyst
SOUTHWEST SERVICE ADMINISTRATORS INC —Phoenix, AZ
- $19.00 - $25.50 an hour
- Remote
- Microsoft Word
- Computer literacy
- Writing skills
- AD&D insurance
- Disability insurance
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Regulatory Analyst (Remote)
Prime Label Consultants —Washington, DC
- $50,000 - $60,000 a year
- 8 hour shift
- Remote
- Research
- Communication skills
- Entry level
- Retirement plan
Claims Analyst
Captrue Benefits LLC —Blaine, MN
- $52,000 - $62,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Dental insurance
6d
Government Provider Operations Analyst
Teladoc Health —Remote
- $65,000 - $75,000 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Office
Specialty Claims Analyst (Troy, MI)
BeneSys, Inc. —Remote
- $21 - $24 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Math
- AD&D insurance
- Paid holidays
Quick Apply
13d
Claims Analyst
Empyreal Logistics —Englewood, CO
- From $75,000 a year
- Full-time
- Remote
- Mid-level
- Finance
- Analysis skills
- Disability insurance
- Health insurance
Quick Apply
10d
Actuarial Analyst - Insurance
WAHVE —Jacksonville, FL
- $40 - $75 an hour
- Part-time
- Remote
- SQL
- Analysis skills
- Bachelor's degree
- 401(k) 4% Match
- 401(k) matching
Actuarial Analyst - Insurance
WAHVE —Princeton, NJ
- $40 - $75 an hour
- Part-time
- Remote
- SQL
- Analysis skills
- Bachelor's degree
- 401(k) 4% Match
- 401(k) matching
Actuarial Analyst - Insurance
WAHVE —Las Vegas, NV
- $40 - $75 an hour
- Part-time
- Remote
- SQL
- Analysis skills
- Bachelor's degree
- 401(k) 4% Match
- 401(k) matching
Actuarial Analyst - Insurance
WAHVE —San Diego, CA
- $40 - $75 an hour
- Part-time
- Remote
- SQL
- Analysis skills
- Bachelor's degree
- 401(k) 4% Match
- 401(k) matching
Sr. Facets Claims Analyst
Revolution Technologies, LLC —Remote
- $45 - $50 an hour
- Full-time
- Remote
- SQL
- Analysis skills
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
1d
Business Analyst, Regulatory Reporting Solutions (Remote)
CVS Health —Washington, DC
- $43,888 - $102,081 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Data entry
- Health insurance
- Dental insurance

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Claims Analyst (Troy, MI)

BeneSys, Inc. -
Remote

Quick Apply

Job Details

Full-time
$25 - $27 an hour
8 days ago

Benefits

AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Dependent health insurance coverage
Vision insurance
401(k) matching
Referral program

Qualifications

Serving clients
Customer service
Team leadership
Writing skills
Basic math
High school diploma or GED
ICD-9
HCPCS
Medical terminology

Full Job Description

Claims Analyst (Troy, MI)

Summary – The Claims Analyst will be responsible for medical, dental, and vision claims processing of claims submitted electronically or on hard copy. Each Analyst will specialize in a particular group but is expected to handle claims processing for multiple groups.

Applicants for this remote role will only be considered if they live in these locations: Arizona, California, Colorado, Washington DC, Iowa, Illinois, Indiana, Kentucky, Massachusetts, Maryland, Michigan, Missouri, Nevada, Ohio, Oregon, Pennsylvania, Texas, Utah, Washington, Wisconsin.

Essential Duties and Responsibilities include but not limited to

Review claims for benefit determination based on exception reports of electronic claim submission or hard copy submissions.
Make corrections when necessary to incorrect participant or provider data.
Assist Client Services Representatives with difficult claim adjustments/corrections.
Analyst must be able to determine benefits for multiple groups and process claims accurately according to the corresponding Plan Documents.
Primary responsibilities will not include telephone or personal interaction with participants or providers unless; it is determined by a supervisor or manager that assistance is needed in this area.
Regular and predictable attendance is an essential function of this job.

Claim Analyst Levels

Level I – Previous claims processing experience necessary. Must have working knowledge of medical terminology, CPT, ICD9/10, and HCPCS codes as well as CMS1500 and CMS1450 claim forms. Must be detail-oriented, work well independently and part of a team, self-motivated, possess analytical skills and ability to make benefit determinations utilizing plan documents. Must meet established productivity and quality expectations of 98% procedural and 99% payment/financial accuracy. Ability to process specialty claims such as flexible spending and HRAs.
Level II – Must be proficient at all Level I skills. Complete understanding of claims processing system and assigned funds. Demonstrated ability to process all claim types and resolve complex claims including but not limited to Coalition and Hospitalist claims. Sound understanding of all aspects of the adjustment process. Ability to assist with system testing and claims auditing. Demonstrates initiative, sound judgment, and independent decision-making ability.
Level III – Must be proficient at all Level I and II skills. Solid understanding of all claim types and the ability to assist on all funds. Ability to identify inconsistencies and escalate findings appropriately. Excellent communication skills. Ability to train and assist new hires as well as provide support for Analyst I and II’s. Conduct audits, report findings, provide detailed analysis of claims, and recommend changes for process improvement.
Unit Lead - Must be proficient at all Level I - III skills. Must possess leadership ability and excellent communication skills both verbally and in writing. Demonstrates the ability to understand and facilitate the resolution of all complex claims issues including adjustments and appeals. Provide training to new hires and existing staff. Complete reporting for inventory, department, and individual analysts’ performance stats. Monitors inventory to ensure turn-around-times are maintained and department goals are achieved. Identifies error trends for training needs and works with the supervisor for implementation of processes to improve overall performance. Must demonstrate initiative, ability to multi-task and prioritize, and excellent organizational skills. Ability to represent the department on workgroups and new system implementation.

Qualifications - Individual must have previous medical claims processing experience and knowledgeable of medical terminology (i.e., CPT codes, ICD-9 codes, HCPCS, ADA codes). Analyst must be methodical and possess the skills to determine approval for benefit payment, versus pending or denying. Analyst will be accountable for benefit determinations. Excellent customer service skills are a must.

Education and/or Experience - High School diploma or GED equivalent and two years related experience.

Language Skills - Ability to read and interpret documents such as Summary Plan Descriptions of Plan rules. Ability to communicate professionally and clearly with other departments of BeneSys.

Mathematical Skills - Ability to apply concepts of basic addition, subtraction, multiplication and division.

Reasoning Ability - Ability to apply common sense to carry out detailed written or oral instructions.

Work Schedule - Full-time. Monday – Friday, 7:30am - 4:00pm. Permanent Remote position (No in-office days).

Competitive Benefits and Compensation Package

15 days Paid Time Off (PTO) during first full calendar-year of service
12 paid holidays
3 days paid bereavement
Up to 20 days paid jury leave
Medical, dental, and vision insurance, with option for dependent coverage
Company-paid basic life, short-term disability, long-term disability, and AD&D insurance
401k with employer match
Tuition reimbursement program
Career development opportunities
Referral bonus for all successful full-time referrals
Annual opportunities for increases

Pay - Hourly rate ranges from $25.00 - $27.00. Actual rate dependent on location, skills, education, experience and other business factors.

Our Culture

BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees’ successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.

Our culture focuses on three core values:

Collaboration: working together across 31 locations to achieve the best for the company and our clients
Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
Integrity: doing what we say we will do. Upholding strong ethical and moral principles

ADA & EEO

Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.

Quick Apply

Refine Your Search

claims analyst jobs in anywhere.+remote

Claims Analyst (Troy, MI)

Healthcare Claims Quality Analyst

Claims Analyst - REMOTE

Entry Level Claims Analyst - Workers' Compensation

Manual QA Analyst

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Claims Analyst

Regulatory Analyst (Remote)

Claims Analyst

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Specialty Claims Analyst (Troy, MI)

Claims Analyst

Actuarial Analyst - Insurance

Actuarial Analyst - Insurance

Actuarial Analyst - Insurance

Actuarial Analyst - Insurance

Sr. Facets Claims Analyst

Business Analyst, Regulatory Reporting Solutions (Remote)

I want to receive the latest job alert for claims analyst in anywhere.+remote

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