Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Position Summary:
Design, implement and support standardized message interfaces among health care information system applications and a centralized clinical data repository This role includes meeting with customers to assess interface requirements, communicating with information system technical representatives to determine detailed message specifications, developing interface descriptions and detailed test plans, implementing and testing interfaces utilizing interface engine tools and other technologies and establishing interface monitoring and support services. Uses knowledge of HL7, FHIR, FTP, and Medical Device integration to assist with design, implementation, and support of innovative solutions for customer needs.
Position Qualification:
Applicants should have 1-2 years of experience in a related field.
Applicants should be familiar with one or more of the following:
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0 Claims Analyst jobs found in Knoxville, TN area