Job Description

A-LINE STAFFING SOLUTIONS IS NOW HIRING A REMOTE AMISYS CLAIMS ANALYST! The Claims Analyst would be working for a Fortune 500 company and has career growth potential. This would be FULL TIME / 40 HOURS PER WEEK.

100% REMOTE: can be located anywhere in USA. EST preferred. ** AMISYS EXPERIENCE REQUIRED **

SHIFT: Monday – Friday, 8:00AM – 5:00PM EST

COMPENSATION & BENEFITS

• The pay range for this position is $28 - $34 per hour
• Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

JOB RESPONSIBILITIES:

• Review large volume of claims to determine if they were processed appropriately. If processed incorrectly, will need to identify root cause.
• Propose resolution and monitor till updated. Once updated, will be required to price out the claims and send for reprocessing.
• Review Trended issues to determine root cause and identify system inefficiencies for processing claims.
• Review Account Receivables received from providers, document root cause and provide feedback based on state guidelines and provider contract.

POSITION REQUIREMENTS:

• Claims pricing experience
• Strong Excel/analytical review
• Claims Root Cause Review