Analyst Reimbursement Managed Care - Remote

Why consider this job opportunity

• Salary up to $84,071.39
• Benefits from Day One, including Medical, Dental, Vision, Life, and Disability Insurance
• Paid Time Off from Day One, along with 4 Weeks of 100% Paid Parental Leave
• Opportunities for career development and personal growth
• Access to Whole Person Well-being Resources and Mental Health Support
• Pet benefits available for employees

• Analyze and address complex issues using strong analytical reasoning and problem-solving skills
• Utilize Microsoft Office applications, specifically Microsoft Excel, to manage and manipulate data effectively
• Submit credentialing reports accurately and in a timely manner, confirming provider information
• Review and resolve claim denials related to credentialing and enrollment status
• Liaise with payers to address issues and ensure accurate processing of claims

• Bachelor's degree or High School Diploma (equivalent required)
• Strong analytical reasoning, critical thinking, and judgment skills
• Proficiency in Microsoft Office applications, particularly Excel
• Experience in managing and analyzing data related to credentialing and claims
• Knowledge of current rules and regulations governing Commercial and Government programs

• Previous experience in healthcare credentialing or claims processing
• Familiarity with managed care contract administration
• Experience in liaising with payers and resolving payment variances

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