Claims Analyst

Job Description

• Run and analyze Veradigm/Allscripts reports (daily + monthly)

• Pull and review:

• Daily: payments posted, charges entered, claims released

• Monthly: aging reports, A/R trends (increasing vs. decreasing)

• Perform ad hoc data analysis to identify:

• Unpaid or underperforming payors

• Missing or unsent claims

• Variances in reimbursement trends by payor

• Compare payor performance:

• Analyze payment % across payors

• Identify lower reimbursement trends and flag discrepancies

• Work with procedure code and reimbursement data to identify gaps

• Support/report into dashboard reporting initiatives (Power BI/Curve exposure a plus)

Utilize Excel heavily for analysis, reporting, and data manipulation

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Skills and Requirements

• 3–5 years experience in:

• Claims processing

• Practice management

• Healthcare revenue cycle / billing

• Hands-on experience with Veradigm/Allscripts reporting

• Strong Excel skills (data analysis, trend identification)

• Proven ability to:

• Analyze A/R and claims data

• Identify payor issues and revenue leakage

High School Diploma required • Bachelor’s degree (can be flexible with strong experience)

• Exposure to Power BI / dashboard reporting tools

Experience analyzing payor trends and reimbursement patterns at scale