The Claims Research Analyst position is critical for ensuring accurate, timely, and proactive communication to provider agencies related to claims submission, denial management, and system updates. The Claims Research Analyst position is critical for the reviewing, monitoring, and auditing claims and for educating the provider community to foster successful submission of claims. Claims Research Analysts research and analyze routine and complex claims data to determine that payments and settlements have been made in accordance with Alliance practices and procedures. Claims Research Analysts track trends and patterns, prepare data for monthly claims reports. This position is also a primary communication point for providers experiencing an array of claims difficulties. This position serves to provide excellent customer service to provider agencies.
The Claims Research Analyst I responsibilities include (but are not limited to):
Requirements
Bachelor’s degree in related field and minimum of 1 year experience; or Graduation from high school plus two years minimum related experience.
Knowledge and Skills
Additional Training Preferred:
Prior experience in a behavioral healthcare agency preferred.
Salary Range
$18.19 to $31.32/Hourly
https://recruiting.ultipro.com/ALL1034ABHC/JobBoard/ad28382f-2fcd-4cbb-bb18-24dd71b05bce/?q=&o=postedDateDesc
Alliance Health serves people in North Carolina's Cumberland, Durham, Johnston, Mecklenburg, Orange and Wake counties who are insured by Medicaid or are uninsured. Our network of providers offers treatment and support for mental illness, substance use disorders, and intellectual/developmental disabilities.