Claims Analyst

Job Summary

A company is looking for a Claims Analyst - 3rd Party.

Key Responsibilities

• Configure 3rd party insurance setups and monitor claims events
• Communicate with 3rd party entities regarding claims inquiries and ensure proper reimbursement
• Research and resolve complex billing issues and prepare reports related to claim denials or payments

Required Qualifications

• High School Diploma, GED, or equivalent experience required
• 2+ years of experience as a Pharmacy Technician or in a billing position within a healthcare setting required
• 1+ years of experience with pharmacy or health data analysis required
• 1+ years of experience working in a Pharmacy, Long Term Care, or Managed Care setting required
• Desired: Associate or Bachelor's degree