We are looking for an Entry-Level Claims Research Analyst to join the team! This is an 8 to 12-week contract position (pays weekly), 100% on-site in San Ramon, CA. It might even lead to a full-time position for the right person! Recent college grads are encouraged to apply.
Responsibilities:
Screen and research all claims to ensure the following:
Claim contains pertinent and correct information for processing PDRs and adjustments.
Accurate final claims adjudication by using on-line computer claims payment system. This includes research on previously processed claims when needed.
Maintain a 97% payment accuracy rate and 98% non-payment accuracy rate.
Maintain productivity goal.
Develop Customer Service Request (CSR) as appropriate. Utilize the CSR module to document PDRs/adjustments and generate letters.
Complete special projects as assigned to meet department and company goals.
Identify billing patterns, processing errors, and/or system issues that inhibit the final adjudication of claims.
Requirements:
High School Diploma/GED is required. Bachelor's Degree is preferred. New grads are encouraged to apply.
Must type at least 40 WPM on a personal computer/keyboard.
Strong research, judgment, decision-making and problem-solving skills.
Ability to work independently or as a team.
Strong written and verbal communication skills, including maintaining open lines of communication within all departments of the organization.
Ability to work in a fast-paced environment.
Ability to focus on repetitive claims, sorting detailed information.
Details:
This is an 8 to 12-week contract that is 100% on-site in San Ramon, CA.
Schedule: Monday - Friday, 8:00 am - 4:30 pm
Location: San Ramon, CA
Position: Entry-level Claims Research Analyst
Pay: $20/hr. (paid weekly)
This is a W-2 position. You must be local to the San Ramon, CA area. No B2C/C2C. No sponsorship.