Associate Benefits Coding Expert

4 days ago


Boston, Massachusetts, United States Highmark Health Full time
About Us

Highmark Health is a leading health insurance company dedicated to improving the health and well-being of our members. We are committed to providing innovative solutions and exceptional service to our customers. Join our team and be part of a dynamic and collaborative environment where you can grow your career and make a difference in people's lives.

Job Description

As a Benefits Coding Analyst, you will play a critical role in analyzing, designing, and coding new clients/groups or products, maintenance of existing groups/products, corporate projects, strategic initiatives, benefit enhancements, and application of medical policy. Your primary responsibilities will include:

* Analyzing data to determine business problems, trends, or opportunities for process improvements
* Providing root cause analysis and corrective action plans
* Verifying that the delivered application code meets the customer needs based on specifications, ensuring minimal defects in both UAT and production
* Identifying, documenting, and escalating risks, defects, and issues throughout the project lifecycle

What You Will Achieve

* Develop and maintain accurate and up-to-date knowledge of benefits coding and medical policy
* Collaborate with cross-functional teams to ensure seamless delivery of projects
* Identify opportunities for process improvements and implement changes to increase efficiency and productivity
* Develop and maintain effective relationships with stakeholders to ensure successful project outcomes

Education and Experience

* High School Diploma or equivalent required; Bachelor's Degree in MIS, Computer Science, Business preferred
* 0-1 years of relevant subject matter experience in the area of specialization
* Strong analytical and problem-solving skills
* Excellent communication and interpersonal skills

Salary Range

$27.45 - $34.68 per hour (based on location)

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