New
Healthcare Claims Analyst
TEKsystems | |
$18.00 / hr | |
life insurance, sick time, 401(k), retirement plan | |
United States, Indiana, Indianapolis | |
Jan 11, 2025 | |
*TEKsystems is looking to hire several REMOTE Healthcare Claims Analysts for a large healthcare company out of Indianapolis, IN!*
***if you have experience working with healthcare insurance claims, please send your most updated resume to rsison @ teksystems.com - I will be setting up interviews with candidates who take the initiative to email me their resume first, rather than applicants here.*** *Description* The Provider Enrollment Analyst will be responsible for initiating, processing, and completing applications for enrollments of billing providers with government and contracted commercial payers as well as managing the ongoing participation requirements. Additionally, the Provider Enrollment Analyst will apply fundamental knowledge of procedures related to identifying and performing root cause analysis to identify enrollment and claim issues. Job duties include: *Assist in the full range of Provider Enrollment interaction (includes all actions involved in the process of enrolling with a range of payers (Anthem, Medicare, Medicaid, Delegated which includes up to 40 different payers, and risk based payers (RBMC). *Respond to enrollment research inquiries, and minimize potential revenue delays or losses *Identify, research, and resolve claims issues *Collaborate with other departments to resolve enrollment and claim issues *Monitor defined reports and coordinate with applicable departments to ensure accounts receivable is properly stated *Maintain working knowledge of workflow, systems, and tools used in the department Main function of job is pulling reports out of systems and tracking it into Excel. Excel is REALLY important. Small detail miss will cause error in enrollment-means miss millions of dollars, provider cannot write prescriptions, etc. *Additional Skills & Qualifications* MUST HAVE: - 1+ year of medical office or healthcare experience where they handle health insurance (do they understand copays and deductibles and medical terminology, etc.) - Healthcare experience MUST be back office (not registration, customer service, scheduling, etc.) - Ability to navigate through multiple systems at once while on the computer PREFERRED: 1+ year of medical billing experience (do they understand copays and deductibles and medical terminology, etc.) From the manager: Wants to see that candidate has "at any time during work career been responsible for production related to revenue loss. In our roles the idea candidate would have some experience in application submission of high volume and/or proficiency in excel. While registration and telephone calls are important our work is more behind the scene and the motivation isn't from having someone sitting in front of you but quite the opposite. You have to be motivated when there is no one in your presence." *Pay and Benefits* The pay range for this position is $18.00 - $18.00 Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) *Workplace Type* This is a hybrid position in Indianapolis,IN. *Application Deadline* This position will be accepting applications until Jan 25, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. |