Healthcare Claims Analyst

Terms of Employment

• W2 Contract-to-Hire, 6-Months
• Location: 100% On-Site (Downtown Baltimore, MD)
• Schedule: Monday - Friday, 8:00 AM – 4:30 PM (40 hours per week)
• Equipment Requirement: Must bring your own laptop/device for the duration of the contract period
• Interview Process: Onsite interviews

Overview

Join a leading healthcare services administration team as a Functional Analyst. In this role, you will provide critical operational support by reviewing, researching, and validating high-volume claims data. This position is ideal for an analytical professional with solid healthcare sector exposure who enjoys deep-dive data verification and thrives in a structured team environment. This contract features an active intent for permanent conversion, complete with comprehensive initial job training.

Key Responsibilities

• Validate and research healthcare claims and appeals data to ensure absolute accuracy.
• Generate, run, and evaluate operational reports under the guidance of department leadership.
• Utilize advanced Excel functionalities to log data, build trackers, and review complex spreadsheets.
• Handle various operational tasks simultaneously within a fast-paced environment.
• Coordinate alongside team members to mitigate processing delays tied to migration groups.

Required Qualifications

• Minimum of 2+ years of experience working as a functional analyst, claims analyst, or claims processor.
• Strong background within the medical or healthcare industry, possessing foundational knowledge of claims management workflows.
• Advanced knowledge of Microsoft Excel, including comfort using Pivot Tables and VLOOKUPs to analyze datasets.
• Adobe and Fox-it knowledge/experience is mandatory
• Minimum of 1 to 2 years of professional data entry experience.
• Educational Requirement: A completed Bachelor’s degree is required; in the absence of a Bachelor's degree, a minimum of 4 additional years of relevant professional work experience is required (6+ years total).

Preferred Qualifications

• Prior experience with medical billing and ICD-10 coding practices.
• Previous exposure to industry applications such as Luminex and Oracle.
• Demonstrated background as an adaptable self-starter who works effectively both independently and as part of a cooperative team.
• Prior experience in the mailroom, scanning documents, etc.