Claims Analyst

Job Description
• Run and analyze Veradigm/Allscripts reports (daily + monthly)
 • Pull and review:
  • Daily: payments posted, charges entered, claims released
  • Monthly: aging reports, A/R trends (increasing vs. decreasing)
 • Perform ad hoc data analysis to identify:
  • Unpaid or underperforming payors
  • Missing or unsent claims
  • Variances in reimbursement trends by payor
 • Compare payor performance:
  • Analyze payment % across payors
  • Identify lower reimbursement trends and flag discrepancies
 • Work with procedure code and reimbursement data to identify gaps
 • Support/report into dashboard reporting initiatives (Power BI/Curve exposure a plus)
Utilize Excel heavily for analysis, reporting, and data manipulation

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