Sr Claims Research Analyst - Pfs Claims Processing - Sharp Corporate - Day Shift - Full Time
Sharp Chula Vista Medical Center
Chula Vista, CA, USA
Base: $30.370 - $42.510; bonus/equity: not specifi...
Full time, day shift (8 am to 4:30 pm)
15 years experience as claims examiner
3 years supervisory experience
Proficient in medical terminology
Sharp Chula Vista Medical Center is seeking a Senior Claims Research Analyst for full-time day shifts, focusing on the investigation and resolution of health plan issues, including appeals and claims disputes. The role requires extensive experience in claims examination and supervisory responsibilities within a managed care environment
Job Summary
The role involves investigating and resolving complex health plan issues.
The Analyst will track and trend issues to recommend improvements.
This position requires interaction with various internal and external departments.
Matching Summary
Match Score: 85
Sharp Chula Vista Medical Center is seeking a Senior Claims Research Analyst for full-time day shifts, focusing on the investigation and resolution of health plan issues, including appeals and claims disputes. The role requires extensive experience in claims examination and supervisory responsibilities within a managed care environment.
Salary
Base: $30.370 - $42.510; Bonus/Equity: Not specified; Benefits: Not specified
Skills & Requirements
Must-have
15 years experience as Claims Examiner
3 years supervisory experience
Proficient in medical terminology
Nice-to-have
Excellent analytical and problem-solving skills
Ability to work independently
Strong teamwork and communication skills
Key Requirements
H.S. Diploma or Equivalent
Evidence of completion of Medical Terminology class