JobMesh

Claims Processing Analyst I

Driscoll Children's Hospital · Corpus Christi, Texas, US

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job informa...

Job description

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. GENERAL PURPOSE OF JOB: The Claims Processing Analyst performs claims analysis and associated responsibilities in support of claims administration, and performs other related work as required. ESSENTIAL DUTIES AND RESPONSIBILITIES - Positions in this class may perform any or all of the below listed duties. These should be interpreted as examples of the work, and are not necessarily all-inclusive. 1. Validate submitted claims data to ensure accuracy, validity and integrity. 2. Analyze pended claims, collaborating with internal business partners for necessary information and assistance, according to departmental procedures. 3. Effectively prioritize and complete all assigned tasks within appropriate timeframes and with required level of quality. 4. Evaluate claims issues and procedures to identify and suggest opportunities for improvement, both in efficiency and quality. 5. Openly participate in team meetings, providing ideas and suggestions to ensure departmental best practices, and to develop and promote teamwork. 6...