Healthcare Claims Specialist

1 week ago

Alameda, California, United States Boost Healthcare Full time
Job Title: Healthcare Claims Analyst

Job Summary:

We are seeking a detail-oriented and organized Healthcare Claims Analyst to join our team at Boost Healthcare. As a Healthcare Claims Analyst, you will work closely with our clients and team members to identify and recover revenue for healthcare providers. You will review contracts between hospitals and insurance carriers, model claims data, and identify lost revenue. You will also establish working relationships with individuals at insurance companies and communicate with teammates and leadership to discuss and identify trends.

Key Responsibilities:

  • Review contracts between hospitals and insurance carriers to identify lost revenue
  • Model claims data to identify trends and areas for improvement
  • Establish working relationships with individuals at insurance companies
  • Communicate with teammates and leadership to discuss and identify trends
  • Prepare and forward claim appeal letters with supporting documentation for denial overturn
  • Perform analysis on large data sets to identify underpayment and denial trends
  • Conduct research on current laws and regulations pertaining to hospital reimbursement methodology

Requirements:

  • Detail-oriented and organized with the ability to manage time effectively and prioritize competing tasks
  • Excellent communication skills both written and verbal
  • Effective documentation skills
  • Strong organizational skills
  • Possesses analytical capabilities and financial acumen
  • Must have private and dedicated workspace that ensures confidentiality
  • Base internet download speed of 10 MBPS and upload of 35 MBPS
  • Must reside in AZ, FL, GA, IL, LA, MA, MN, OH, OR, PA, SC, TX, or WA

Preferred Qualifications:

  • Undergraduate degree or internship in a healthcare related field
  • Understanding of health insurance, EHR's, EMR's, and claims handling
  • Healthcare operations experience
  • Understanding of auditing and reporting tools such as SQL
  • Presentation skills and client relations experience a plus

About Boost Healthcare:

Boost Healthcare is a remote team of 70+ employees and growing with a nationwide clientele base. Our core values are being Trustworthy, Dedicated, Valued, Resourceful, and Fun. We prioritize hard work and collaboration among our teams, our clients, and the communities we serve. We place high importance on connection, including face-to-face daily interactions, and make sure to carve out time for play.

Compensation:

The salary range for a Healthcare Claims Analyst ranges from $52,300-$79,500.

Benefits:

Boost Healthcare provides a competitive benefits package including medical, dental, vision, and 401k benefits as well as a flexible schedule and stipends that cover education and remote work.

Equal Opportunity Employer:

Boost Healthcare is an Equal Opportunity Employer. Offers of employment are contingent on successful completion of background check.

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