CLAIMS ANALYST
West Corporation
Work in Omaha, Nebraska
Start immediately
40 hours per week
Equal Opportunity Employer - Affirmative Action W/M/D/V
CLAIMS ANALYST
Contact:
Employment Specialist
 
West Corporation
 
11810 Nicholas Street
 
Omaha, NE 68154
 
Fax: 402-573-1030
Position Description

This position will work directly with health insurance claims and provider contracts; research how claims are administered and/or contractual elements that help define areas that require focused analytical testing to identify incorrectly paid claims. Our Insurance Services Division then is able recover the funds identified by such research and testing.

Basic Function:
Responsible for analyzing, testing and implementing overpayment identification edit concepts in adherence with corporate and departmental policies and procedures; assist in constructing and maintaining edit logic and refining query logic to produce quality output and increase revenue.

Qualifications:

  • Associates degree from an accredited college or university with major coursework in business administration, accounting, finance, or related field required. Bachelor's degree from an accredited college or university with major course work in business administration, accounting, finance, or related field preferred. Equivalent work experience in a similar position may be substituted for educational requirements
  • Minimum two years experience in contract or network management (e.g., rate negotiations, contract implementation, etc.) in a healthcare or insurance industry required.
  • Intermediate knowledge of MS Word, PowerPoint, and Excel required
  • Knowledge of SQL preferred

    • West offers competitive pay and a comprehensive benefits package. Interested individuals should apply online at http://www.west.com/careers. To locate this position on our careers website click on Search Jobs, enter 418578 in the space provided for Requisition Number, and click on Search.

     

    West is an EEO/AA Employer

     

    CLAIMS ANALYST
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    This position has been listed under the following classifications:
    [West Corporation Positions ]
    [Health Care Risk and Insurance ]
    [Claims Processing ]
    [Posted 2008/05/09 ]
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