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Business Systems Analyst

Company: Robert Half Technology
Location: West Des Moines
Posted on: November 10, 2019

Job Description:

Robert Half Technology has an excellent opportunity for an Claims Analyst with a company in the Health Care industry. The main purpose of a Claims Analyst is to process pended medical claims verifying and updating information on submitted claims and reviewing work processes to determine reimbursement eligibility Ensure payments and/or denials are made in accordance with company practices and procedures. Job Responsibilities include but are not limited to: * Organize and work with detailed office or warehouse records using computer to enter access search and retrieve data * Prepare and review insurance claim forms and related documents for completeness * Provide customer service such as giving limited instructions on how to proceed with claims or providing referrals to other facilities or contractors * Review claims to determine whether or not claimant is covered under a policy review policy to determine coverage and evaluate the extent of a settlement. * Authorize claim payments set reserves on payments ensure timely disbursement of funds coordinate or conduct investigations on claims identify claims with possible recovery from third parties and consult with attorneys doctors and agents in regards to the disposition of complex claims If interested please contact Chris Parker at 515.282.6876 or chris.parker@rht.com-Strong Excel skills including pivot tables, filters, V- lookup and ability to use data warehouse tools to create reports for claims * Working within a helpdesk environment is a plus * Bachelors degree or 4 +year of experience - provided by Dice

Keywords: Robert Half Technology, West Des Moines , Business Systems Analyst, IT / Software / Systems , West Des Moines, Iowa

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