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Claims Analyst

Remote: 
Hybrid
Contract: 
Full time
Salary: 
57 - 71K yearly
Experience: 
Mid-level (2-5 years)
Work from: 
Montebello (US)

Offer summary

Qualifications:

HS Diploma or GED required, 3 years claims experience in managed care, Knowledge of Medi-Cal, Commercial and Medicare regulations, Understanding of medical terminology, Experience with SQL coding and programming.

Key responsabilities:

  • Compile and scrub claims data for analysis
  • Analyze TAT compliance and error rates
  • Generate mid-month and monthly reports
  • Identify root causes of claims errors
  • Collaborate with departments on claims issues
AltaMed Health Services Corporation logo
AltaMed Health Services Corporation Health, Sport, Wellness & Fitness Large https://www.AltaMed.org/
1001 - 5000 Employees
About AltaMed Health Services Corporation
AltaMed is one of the nation’s largest community health networks. For more than 45 years, we have provided care to patients in the diverse neighborhoods of Los Angeles and Orange counties. For health care professionals committed to their patients, communities and careers, AltaMed is an excellent opportunity to pursue professional goals with pride and distinction. AltaMed is a non-profit organization, focused on the needs of our patients and the well-being of our communities. Our commitment to community health compels us to look beyond the walls of our offices and clinics and see not just patients, but new possibilities for community wellness. We have many employees who joined us because their families were AltaMed patients and experienced firsthand that our patients are at the center of all we do. This approach is helping us meet our ambitious goals. We are continually accredited by The Joint Commission (JCAHO), an organization that ensures quality standards in U.S. medical facilities. We’re the first community health network in the nation to have been designated as a Primary Care Medical Home (PCMH). We’re extremely proud of our achievements in patient satisfaction, with our highest scores accomplished during our period of greatest growth. We’ve expanded to 46 Southern California locations, offering primary medical, dental and senior care. We’re active in community outreach and education, and staffed by dedicated professionals committed to patient care. Continuously looking for ways to do more for more people, AltaMed is leading the industry in bringing new people into our nation's health care system as the top enroller for Covered California. As we continue to grow, we remain at the forefront of evolving health care systems, serving patients with comprehensive care throughout their entire lives. And we will build on our reputation as a rewarding long-term decision for both patients and professionals who believe that quality health care is everyone’s right.
See more AltaMed Health Services Corporation offers

Job description

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The Claims Operations Analyst is responsible for the compilation and scrubbing of claims data in order to analyze, track, and trend various aspects of the adjudicated claims.  This includes but is not limited to, TAT compliance, Production, Error Rate, mid-month reports for forecasting, Health Plan monthly reporting including ODAG and Part C, Health Plan Universes for Audits, reports to identify potential recovery, as well as reports requested by Claims Management.  The Claims Operations Analyst identifies root causes of claims payment errors and reports to Management as well as collaborates with other departments and/or providers in successful resolution of claims related issues.

Minimum Requirements

1. HS Diploma or GED required.

2. Minimum of 3 years of claims experience in a managed care environment required.

3. Must be knowledgeable of Medi-Cal, Commercial, and Medicare rules and regulations.

4. Knowledge of medical terminology.

5. Must have an understanding to read and interpret DOFRs and Contracts.

6. Must have an understanding how to read a CMS-1500 and UB-04 form.

7. Must have strong organizational and mathematical skills.

8. Must have SQL coding and programming experience.

Compensation

$56,559.36 - $70,699.20 annually

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

  • Medical, Dental and Vision insurance
  • 403(b) Retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career Advancement & Development opportunities
  • Paid Time Off & Holidays
  • Paid CME Days 
  • Malpractice insurance and tail coverage
  • Tuition Reimbursement Program
  • Corporate Employee Discounts
  • Employee Referral Bonus Program
  • Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Health, Sport, Wellness & Fitness
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Commercial LawsMedicare RegulationsCMS-1500 FormsMedical TerminologyDatabase Programming

Other Skills

  • Analytical Skills
  • Organizational Skills
Are you interested?

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