Global Claims Management Analyst, Remote, Physician Network Services, FT, 08\:30A-5P

• Strong background in Medical Insurance Billing and collections, coding, claims regulations, revenue cycle, provider contract management, operational support and registration.
• Must have a solid understanding of hospital operations, contractual analysis, FDA health regulations, HIPPA regulations, DRG guidelines, as well as possess exceptional administrative skills.
• Thorough understanding of all required fields on a 1500 and/or UB for hospitals, diagnostic facilities and physician practices required.
• Excellent written and verbal communication skills.
• Superb customer service skills needed.
• Ability to work independently, demonstrate a high level of initiative, prioritize deadlines and decision making abilities.
• Results driven, with a desire to work in a fast-paced environment that values collaboration, integrity and customer focused.
• Experience preferred with JDA ACO, Web Tool Parathon, EPSi, Soarian Financials, Cerner Power Chart, Business Objectives Enterprise, MS Power BI, Pro Diver or other payer modeling is essential.

Minimum Required Experience: 5 Years

• $26.65-33.85 per hour
• Permanent

• Full-time

• 13 hours ago

Responsible for the execution of all Claims Management and Third Party Administrative (TPA) functions to support system-wide Domestic and International lines of businesses. Key responsibilities include the accurate audit, claim analysis, timely payer collections management and adjudication of medical claims. In addition to, maintaining, develop and administer the PNS Contract Management Process. Team Lead(s) back up for the Para-Claim Parathon solution management, to include analyzing claim data in order to identify anomalies, trends and discrepancies. Responsible for the physician claims appeal and reimbursement reconsideration process for all line of businesses. Supports Team Lead(s) and leadership in departmental process improvement initiatives. Supports department leaders and Team Lead during the payment and reconciliation process as needed. Estimated pay range for this position is $26.65 - $33.85 / hour depending on experience. Qualifications Degrees:

• Associates.