Remote Claims Analyst - SQL Experience Required

Remote Claims Analyst - SQL Experience Required Atlas Search

LLC - 4.6

New York, NY Job Details Full-time | Contract $20 an hour 20 hours ago Benefits Health insurance 401(k) Paid time off Referral program Qualifications Customer communication Medical claims Medicare Regulatory compliance in claims processing Customer inquiry handling

SQL HCPCS

Medicare regulations Quality improvement Centers for Medicare and Medicaid Services (CMS) Centers for Medicare & Medicaid Services (CMS) billing regulations Medicaid regulations Medicaid Quality audits Process management Database software proficiency Full Job Description Remote Claims Specialist Opportunity | $20/Hour |

New York, NY Location:

Remote (Must Reside in the NYC Area)

Pay Rate:

$20.00 per hour

Assignment Type:

Full-Time Contract Contract Length:

3 Months with

Potential Extension Schedule:

Monday-Friday | 8:00 AM - 4:00 PM or 9:00 AM - 5:00

PM Start Date:

ASAP About the Opportunity We are seeking an experienced Claims Specialist for a remote contract opportunity with a healthcare organization serving members through managed care and community-based healthcare programs. This position is fully remote; however, candidates must reside in the New York City area and be able to pick up company-issued IT and phone equipment in person. Key Responsibilities Review, investigate, and adjudicate healthcare claims accurately and efficiently Evaluate claims to ensure payments are appropriate for services rendered Review suspended claims and verify HCPCS codes, units, service dates, and authorizations Analyze member information to identify coordination of benefits (COB) opportunities and coordinate with other carriers when applicable Resolve claims processing issues involving Medical Management, Enrollment, Customer Service, Network Development, and other departments Monitor claims workflows and recommend process improvements to increase efficiency and accuracy Respond to inquiries from providers, members, and internal stakeholders Oversee claims appeals processing and provide guidance on appeals procedures Conduct audits and quality reviews to ensure compliance and accuracy Participate in special projects, reporting initiatives, and regulatory audit activities Assist with training and education for internal and external staff as needed Qualifications Minimum of 2 years of claims processing, claims analysis, or healthcare claims experience required Experience reviewing and adjudicating medical claims preferred Strong understanding of healthcare claims regulations, billing practices, and reimbursement methodologies Strong analytical and problem-solving skills Excellent written and verbal communication skills Ability to work independently in a remote environment Proficiency with Microsoft Office and claims management systems SQL experience required Knowledge of Medicare and Medicaid guidelines required Why Apply? Fully remote opportunity Monday-Friday schedule with no weekends required Competitive hourly compensation Opportunity for contract extension Immediate start available Apply today to learn more about this remote Claims Specialist opportunity. #

INDEEDTH

Pay:

$20.00 per hour

Benefits:

401(k) Health insurance Paid time off Referral program Application Question(s): What email and phone number should the employer use to contact you?

Work Location:

Remote