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Payer Service Analyst

Location: Nashville, TN, United States
Job # 9763932
Date Posted: 08-14-2017
Title: Payer Service Analyst
Location: Nashville, TN
Hours: M-F - 9:00am - 3:30pm 
Salary: $20.00 Hourly
9-12 Month Contract

Summary:

Our client is a leading financial and administrative healthcare network in the United States that connects virtually all private and government payers, claim-submitting providers and pharmacies in a hybrid cloud based, user-centric and secure infrastructure environment. They are seeking a Payer Service Analyst to handle, search and escalate payer inquiries on claims.

Job Responsibilities:
  • Receive inquiries from payers on claims
  • Process, edit, audit and escalate payer inquiries.
  • Perform standard analyses of business goals, objectives and needs and of the general business environment.
  • Plan and design business processes and make recommendations in order to improve and support business activities.
  • Utilize systems and data to resolve business issues in the most effective and productive manner.
  • Review industry changes or mandates
  • Produce documentation on the impact to existing systems, and provides detailed documentation for programmers. 
  • Operate under moderate supervision. 
Qualifications & Experience:
  • Bachelor’s Degree or equivalent
  • 2+ years of experience in a similar role
  • 837 form, CMS-1500 experience
  • Commercial payer experience
  • Experience in a healthcare setting or with healthcare transactions, preferably with experience with paper claiming.
  • Extensive customer relationship management skills
Please submit an updated version of your resume for immediate consideration. Thank you!
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