Health Care Claims Analyst

Job not on LinkedIn

🔥 0 minutes ago

🦀 Maryland – Remote

🦀 Maryland – Remote

⏰ Full Time

⚪️ Entry-level

🧐 Analyst

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Withum

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1974

💸 Finance

☁️ SaaS

🔒 Cybersecurity

Finance • SaaS • Cybersecurity

Withum is a forward-thinking advisory, accounting, and cybersecurity firm that offers a wide range of services to help businesses enhance their operations and profitability. They provide business advisory services, forensic and valuation services, accounting and assurance services, digital and cybersecurity solutions, and tax services. Withum is committed to cultivating a unique corporate culture characterized by inclusion, strength, and collaboration. They work with clients across various industries, including healthcare, financial services, and technology, providing tailored solutions to meet specific business needs.

📋 Description

• Perform audits and quality assurance processes related to claims processing. • Prepare working papers, which record and summarize data in accordance with professional standards. • Organize and maintain audit support files, workpapers, and other relevant documentation. • Analyze healthcare claims data to identify patterns and anomalies. • Prepare detailed reports and dashboards for internal and client use. • Collaborate with cross-functional teams to implement data-driven solutions. • Ensure compliance with healthcare regulations and data privacy standards. • Works as an active team member during scheduled engagements and works collaboratively to achieve the goals of the team. • Provides feedback to the team lead on any issues identified during research or claims review. • Minimal travel may be required based on client needs.

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Business, Accounting, Analytics, Public Health, or a related field preferred • Relevant experience working for a medical TPA either adjudicating or auditing claims may be considered in lieu or a bachelor’s degree. • 1 year of experience in healthcare consulting, provider billing, insurance claims adjudication, or related area. • Knowledge of medical claims processing practices including interpretation of plan benefits. • Knowledge of medical coding terminology (e.g., Revenue, DRG, CPT, ICD-10, NDC codes) • Proficiency in Microsoft Office and data analysis tools.

🏖️ Benefits

• Health insurance • Career growth opportunities • Flexible working conditions • Supportive teamwork culture