Health Care Claims Analyst, Entry Level

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CampusESP

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

📚 Education

☁️ SaaS

🏢 Enterprise

💰 Seed Round on 2018-05

Education • SaaS • Enterprise

CampusESP is the leading platform designed to enhance family engagement for colleges and universities, helping to ensure student success through increased parent involvement. With services tailored for student enrollment, communication, FERPA compliance, and fundraising, CampusESP empowers institutions to connect and collaborate with families effectively. The platform aims to streamline communication and foster relationships between parents and educational institutions, ultimately benefiting student retention and success.

📋 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. • Work as an active team member during scheduled engagements and work collaboratively to achieve the goals of the team. • Provide feedback to the team lead on any issues identified during research or claims review.

🎯 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 • Professional development opportunities • Flexible working hours