Job Description
Overview
Are you a detail-oriented professional with a passion for process optimization and problem-solving? We’re looking for an Electronic Claims Analyst to join our dynamic, fully remote team! In this role, you will play a critical part in processing and analyzing electronic claims, improving data integrity, and collaborating cross-functionally to enhance efficiency.
As a leader in work-from-home BPO solutions, we provide a flexible and innovative environment where your expertise in electronic claims will drive operational excellence. You'll have the opportunity to lead process improvements, collaborate with various teams, and make a real impact on our claims management systems.
Responsibilities
- Process and upload electronic claims with precision and efficiency.
- Conduct in-depth claims analysis to identify financial impacts and improvement opportunities.
- Research and resolve electronic claims discrepancies, partnering with Claims and Network Services teams to address provider billing issues (e.g., Tax ID, NPI, provider and patient match).
- Investigate and correct errors generated from electronic claims loads.
- Serve as a liaison between providers and internal teams to ensure proper billing procedures.
- Work closely with technical teams to troubleshoot data entry and claims processing issues.
- Communicate system and operational challenges to leadership proactively.
- Lead projects focused on process enhancement, reporting, and system improvements.
- Provide training and support to electronic claims staff.
- Participate in testing new claims requirements and workflows.
- Develop, document, and optimize electronic claims processes.
- Support additional data management initiatives as needed.
Qualifications
- High School Diploma required; additional education is a plus.
- Minimum of two years of health insurance claims processing .
- Prior experience handling electronic claims and maintaining member files.
- Exceptional written and verbal communication skills.
- Strong analytical and problem-solving abilities.
- Ability to work independently, prioritize tasks, and manage multiple responsibilities.
If you thrive in a fast-paced, remote environment and are eager to bring your expertise to a forward-thinking organization, we’d love to hear from you. Apply today and be part of a team that values innovation, collaboration, and professional growth!
Diversity Statement
At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!
Equal Employment Opportunity/Disability/Veterans
If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process
BroadPath is an Equal Opportunity Employer
We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law
