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# Remote Claims Analyst - SQL Experience Required

- **Company:** Atlas Search, LLC
- **Location:** New York, NY, United States (Remote available)
- **Experience:** Experienced
- **Salary:** $41,600.0
- **Contract:** Temporary contract
- **Skills:** Microsoft Office, SQL Databases
- **Published:** June 13, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=eae0fe99b6b70a63

## About the Role

Do you have experience in SQL?, * Minimum of 2 years of claims processing, claims analysis, or healthcare claims experience required

 * Experience reviewing and adjudicating medical claims preferred
 * Strong understanding of healthcare claims regulations, billing practices, and reimbursement methodologies
 * Strong analytical and problem-solving skills
 * Excellent written and verbal communication skills
 * Ability to work independently in a remote environment
 * Proficiency with Microsoft Office and claims management systems
 * SQL experience required
 * Knowledge of Medicare and Medicaid guidelines required

## Description

* Review, investigate, and adjudicate healthcare claims accurately and efficiently
 * Evaluate claims to ensure payments are appropriate for services rendered
 * Review suspended claims and verify HCPCS codes, units, service dates, and authorizations
 * Analyze member information to identify coordination of benefits (COB) opportunities and coordinate with other carriers when applicable
 * Resolve claims processing issues involving Medical Management, Enrollment, Customer Service, Network Development, and other departments
 * Monitor claims workflows and recommend process improvements to increase efficiency and accuracy
 * Respond to inquiries from providers, members, and internal stakeholders
 * Oversee claims appeals processing and provide guidance on appeals procedures
 * Conduct audits and quality reviews to ensure compliance and accuracy
 * Participate in special projects, reporting initiatives, and regulatory audit activities
 * Assist with training and education for internal and external staff as needed


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