Analyst, Claims Research - Racine, WI

Only for registered members Racine, WI, United States

3 weeks ago

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+Job summary

Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution.

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Qualifications

  • At least 3 years of medical claims processing experience, or equivalent combination of relevant education and experience.
  • Medical claims processing experience across multiple states, markets, and claim types.
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Benefits

Molina Healthcare offers a competitive benefits package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V


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