Claims Analyst

At Driscoll Children's Hospital, we are seeking a highly skilled Claims Processing Analyst to join our team. As a Claims Processing Analyst, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.

The Claims Processing Analyst will be responsible for performing claims analysis and associated responsibilities in support of claims administration. This includes reviewing claims data for accuracy and validity, analyzing pending claims, and collaborating with internal business partners to resolve issues.

• Validate submitted claims data to ensure accuracy, validity, and integrity.
• Analyze pending claims and collaborate with internal business partners to resolve issues.
• Effectively prioritize and complete all assigned tasks within appropriate timeframes and with the required level of quality.
• Evaluate claims issues and procedures to identify opportunities for improvement.
• Participate in team meetings and contribute to the development of departmental best practices.
• Maintain required compliance with privacy and confidentiality standards.
• Support the Claims department in review, investigation, and research of claims issues and completion of claims projects.
• Communicate effectively with internal stakeholders and external partners.

• Minimum of two years of professional experience in claims analysis, provider medical billing, or medical coding.
• High school graduate or GED required.
• Experience with Microsoft Excel and Word, as well as with medical terminology, coding, and billing concepts.
• Experience with Health Insurance and managed care principles.

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.