Claims Analyst II

Innova Solutions is immediately hiring for a Claim Analyst II.

Position type: Permanent
Duration: Fulltime
Location: Remote

As a Claim Analyst II you will:
We are looking to add four team members to the NSA/Non-Par Marketplace Team. NSA is highly regulated due to laws surrounding non-par services within the Marketplace. This has resulted in an increased level of leadership awareness and additional audits to ensure accuracy. As such, this role requires a high level of critical thinking, as well as the ability to remain agile and adaptable when tasks or priorities change.

Below are the details of the requirements for the positions.

• Bulk and manual pricing of NSA/Non-par claims: In-patient, out-patient, FH BOT fallout, and COB pricing
• Pricing verification for re-work claims
• ONR/IDR pricing and data entry

The ideal candidate will have:

• Experience processing first time claims in Amisys
• Intermediate to advanced Excel knowledge: Vlookups and Pivot tables
• Working knowledge claims: ICD-9/10, CPT, HCPCs, revenue codes, and medical terminology
• Proficiency using MS Office products and Teams
• Critical thinking and analytical skills
• Amisys
• Excel - Intermediate to Advanced
• Experience working cases in Cenpas, OMNI, and/or ServiceNow tickets

Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.
We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines.
ASK ME HOW.
Thank you!

Karthik Saraswati
Senior Manager

PAY RANGE AND BENEFITS:
Pay Range*: $ 34,000 - $ 39,500 Per Year
*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP)

ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:

• Named One of America's Best Employers for New Grads by Forbes (2024)
• Named One of the Best Companies to Work For by U.S. News & World Report (Private Companies List, 2024-2025)
• One of the Largest IT Staffing Firms in the US - Ranked #3 by Staffing Industry Analysts (SIA, 2024)
• One of the Largest Staffing Firms in the US - Ranked #13by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)
• Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
• One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
• AWS Advanced Tier Services Partner with 100+ certifications

Website :

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at View email address on click.appcast.io or View phone number on click.appcast.io. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.
The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

Thank You!
Team Innova Solutions