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snowflake sql excel power bi edi📋 Description
- Monitor claim status across clearinghouses and payer systems.
- Analyze large claim populations for trends and bottlenecks.
- Investigate rejected, delayed, or stuck claims and determine root causes.
- Collaborate with Billing Ops, Verification, Denials, Coding, Eng, and Automation to resolve issues.
- Identify opportunities to automate manual claim status workflows.
- Serve as SME on clearinghouse ops, payer connectivity, EDI transactions, and status processes.
🎯 Requirements
- Bachelor's degree or equivalent experience.
- 4+ years of healthcare revenue cycle experience.
- Experience with claim submission, status, acceptance/rejection, or EDI operations.
- Strong understanding of healthcare claims workflows and payer processing.
- Experience researching and resolving claim transmission, acceptance, or rejection issues.
- Advanced Excel or Google Sheets skills for data analysis and reporting.
🎁 Benefits
- Medical, dental, vision, life, and disability coverage.
- Free genetic testing for employee and family; fertility benefits.
- 401(k) with employer matching and commuter benefits.
- Generous employee referral program.
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