Healthcare Claims Analyst
VirtualVocationsGrand Rapids, Michigan, United Statesjob_description.job_card.variable_days_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Claims Analyst (Healthcare) to support their team in a remote capacity.
Key Responsibilities
Research, resolve, and follow up on rejected or unpaid pharmacy claims for accurate reimbursement
Serve as a subject matter expert on reimbursement, provider relationships, and claims processes
Prepare reports, analyze trends, and communicate findings effectively to stakeholders
Required Qualifications
Bachelor's degree in Business, Healthcare, or related field; equivalent experience considered
1-3 years of experience in healthcare billing, revenue cycle, coding, or pharmacy claims
Strong knowledge of Medicare, third-party billing codes, CPT / HCPCS, ICD-10, and NCCI / MUE edits
Certified Pharmacy Technician or coding certifications (CPC, RHIT) preferred
Advanced analytical and interpersonal skills with the ability to work cross-functionally
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Healthcare Analyst • Grand Rapids, Michigan, United States
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