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Check with seller Claims Analyst (Medical) - NM (must reside/work in NM) Albuquerque

Published date: April 3, 2022
  • Location: Albuquerque, New Mexico, United States

($1,000 signing bonus – paid in installments as follows; $375 on the first payroll following the date of hire; $375 on the first payroll following 6 months of employment; $250 on the first payroll following 1 year of employment)

The Claims Analyst is responsible for reviewing, analyzing and processing medical and/or dental claims. This role is responsible for analyzing claims from first submission and processing them to the final payment while maintaining complete accuracy, production and quality standards.

Proof of COVID-19 vaccination required as a condition of employment. Candidates must reside in AZ, UT, NM, TX or NV to be eligible for employment. Relocation assistance not available.

We pride ourselves on being flexible, but there are some things we feel very strongly about:

Being an excellent communicator, because you take care in articulating your own thought process, as well as critique the work of others.

Understanding the whole business. Great systems aren’t built in a vacuum – they require hard work from extremely smart people across many disciplines and an understanding of how it all fits together.

Great teams are better than the all-star players. No matter how great someone’s ideas, they’ll be improved upon through collaboration.

Responsibilities

Analyzing/Processing

Gain and maintain the understanding of the plan designs and effectively apply that knowledge.
Analyze claims as appropriate from first submission to finalizing.
Maintain complete and accurate processing.

Teamwork

Work cooperatively with other team members
Actively participate in team meetings and training activities.
Perform additional responsibilities and projects as periodically assigned.
Qualifications

Education/Certification:
(Minimum) High School Diploma/GED
Three (3) years recent experience processing medical claims

Skills/Abilities:
Ability to maintain production and quality standards.
Extensive knowledge of medical terminology, CPT Codes, ICD 9/10 and medical claim forms.
Ability to read, analyze and assess medical documentation and draw valid conclusions.
Minimum 40 WPM and 3,000 KPH proficiency
Solid knowledge of MS Excel & MS Word (i.e. pivot tables and lookup functions).
Professional, client-focused approach to colleagues and assignments.
Strong oral and written communication skills with exceptional attention to details.
Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.
Strong dedication to follow-through on all tasks and assignments.
Ability to organize, set priorities, work independently and complete multiple projects within established deadlines.
Ability to sit for long periods of time operating a computer keyboard.

Competencies:
Analytical, Problem Solving, Critical Thinking, Communications, Interpersonal Relations/Teamwork, Organization Awareness, Self/Life Management, Continuous Improvement/Innovation and Change, Basic Technical Competence

Employee Benefits Program

One of the most competitive Paid Time Off plans in the industry.
Extensive 401(k) plan with company matching for contributions up to five percent of an employee’s base pay.
Affordable medical, dental and vision insurance; along with company paid disability and life insurance.
Family and employee care programs.

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