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Full-Time

Claims Analyst

Posted on 7/3/2024

Nomi Health

Nomi Health

201-500 employees

Direct healthcare solutions with real-time billing

Data & Analytics

Senior, Expert

Remote in USA

Category
Quality Control & Compliance
Operations & Logistics
Required Skills
Communications
Requirements
  • Minimum of 5 years of experience in healthcare claims processing or a similar role.
  • Familiarity with medical terminology, claim coding (ICD, CPT, HCPCS), and insurance billing practices.
  • Strong analytical and problem-solving skills.
  • Excellent attention to detail and accuracy.
  • Proficiency in using claims management software and Microsoft Office Suite.
  • Effective communication and interpersonal skills.
  • Ability to work independently and as part of a team.
Responsibilities
  • Review and analyze healthcare claims for accuracy, completeness, and eligibility.
  • Ensure claims are processed in accordance with company policies, procedures, provider contracts and regulatory requirements.
  • Verify patient and provider information and validate claim codes (ICD, CPT, HCPCS).
  • Identify discrepancies and inconsistencies in claims and take appropriate corrective actions.
  • Communicate with healthcare providers, patients, and insurance companies to resolve claim issues.
  • Investigate and resolve denied or rejected claims.
  • Accurately enter claim information into the claims management system.
  • Maintain detailed and organized records of claims and related correspondence.
  • Prepare and generate reports on claim status, trends, and performance metrics.
  • Stay updated on industry regulations and guidelines related to healthcare claims processing.
  • Ensure compliance with HIPAA and other regulatory standards.
  • Participate in quality assurance reviews to identify areas for improvement and implement best practices.
  • Work closely with the Director of Provider Operations and other team members to improve claim processing workflows.
  • Provide training and support to new team members as needed.
  • Communicate effectively with internal and external stakeholders to facilitate smooth claims processing.

Nomi Health provides an exemplary environment for those who are passionate about enhancing access to healthcare through cutting-edge technology. Working here means you're part of a team that applies advanced real-time payments, claims, and billing technology to deliver affordable and high-quality healthcare solutions nationwide. It’s a place where your efforts contribute directly to an industry-leading initiative that improves patient care through efficient and innovative healthcare service delivery.

Company Stage

Series B

Total Funding

$239.4M

Headquarters

Orem, Utah

Founded

2019

Growth & Insights
Headcount

6 month growth

-6%

1 year growth

-10%

2 year growth

1%

Benefits

Unlimited PTO

Competitive salary

401k match

Medical, dental, & vision coverage

HSA

Career growth

Continuous learning

Family leave

Free counseling

INACTIVE