Claims Quality Analyst

Yale Health

New Haven, US
$90,000.00 - $165,750.00 py
On-site
Medical terminology and coding knowledge
Hipaa confidentiality laws understanding
Sql query building and execution
Yale Health is seeking a Claims Quality Analyst to enhance claims processing and network compliance through collaboration with operational leaders. The ideal candidate should possess strong analytical skills, experience in claims adjudication, and knowledge of medical coding. This position is full-time and offers a competitive salary range

Job Summary

  • The Quality Improvement Analyst promotes quality claims management by collaborating with other leaders to detect improvement opportunities and implement corrective actions.
  • This is a 2-year Fixed Duration, remote position with a Full-Time schedule, Monday - Friday, 8:30 a.m. – 5:00 p.m. EST.
  • Principal responsibilities include auditing system configuration, identifying discrepancies, collaborating with IT and operations, and performing routine audits of claim transactions.

Matching Summary

Match Score: 85

Yale Health is seeking a Claims Quality Analyst to enhance claims processing and network compliance through collaboration with operational leaders. The ideal candidate should possess strong analytical skills, experience in claims adjudication, and knowledge of medical coding. This position is full-time and offers a competitive salary range.

Salary

$90,000.00 - $165,750.00

Skills & Requirements

Must-have

  • Medical terminology and coding knowledge
  • HIPAA Confidentiality laws understanding
  • SQL query building and execution
  • Microsoft Office Suite proficiency
  • Claims adjudication experience

Nice-to-have

  • Enthusiastic attitude
  • Cooperative team player
  • Adaptability to change

Key Requirements

  • Bachelor's degree
  • Minimum 5 years advanced claims adjudication experience
  • Minimum 3 years claims adjudication auditing experience

Work Rights

Not specified

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