Healthcare Claims Functional Analyst

Healthcare Claims Functional Analyst

Elite Technical is seeking a Healthcare Claims Functional Analyst to support our client, a major Healthcare organization. This position is 100% onsite in Canton (Baltimore) Maryland (M-F, 8:00am Start time) and is a Contract to Permanent opportunity with our client.

The selected candidate will analyze Healthcare Claims information in different formats (mostly MS Excel), then enter/map this information into our clients benefits system. Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers.

ESSENTIAL FUNCTIONS:
- Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems/identifying root cause recommending and facilitating resolution.
- Supports operations systems by providing operating information to customers; answering questions; providing training.
- Contributes to operations analysis and organization success by welcoming related, different, and new requests; helping others accomplish job results, development of Standard Operating Procedures (SOP) and other essential documentation,
- Verifies operations systems by developing testing methods; conducting and documenting tests.
- Improves operations analysis job knowledge by attending training sessions; reading technical publications.

Please contact Elite Technical to learn more about this long term contract position!

Required Skills

- Education Level: HS or GED is required. BS Degree is preferred
- Experience: 2+ years experience within a Healthcare Insurance environment, analyzing/validating claims data for proper entry.
- Must have strong MS Excel experience (Pivot Tables, v-Look ups, etc..)
-Must have strong Data Entry skills
-Must have strong knowledge around claims processing

Preferred (not required):
- ICD 9/10 Coding
- SW Tools: FixIT and/or Adobe

Apply Now