Claims Analyst

About this opportunity:

Workplace Options is proud to support our sister organization, Behavioral Health Systems (BHS), in recruiting a Claims Analyst. BHS operates one of the nation's largest specialty preferred provider organizations (PPO), which is comprised of psychiatrists, psychologists, social workers, EAP providers as well as facility networks including hospitals, rehab/residential treatment centers, partial hospitalization programs and intensive outpatient programs. BHS fully credentials and panels their own network of providers.

Current Opportunity: Claims Analyst

Location: Alabama (Birmingham)

Full-time/Part-time: This is a full-time (40 hours per week) position.

What you will do:

Reporting to the Director, Claims Administration, this position is responsible for the accurate and timely processing of Claims data. The position will also provide clerical support to the Finance Division as needed, as well as provide customer service duties.

Responsibilities:

• Transferring data from paper formats into computer files or database systems
• Creating spreadsheets with large numbers of figures without mistakes
• Auditing/verification of data by comparing it to source documents
• Updating existing data
• Retrieving data from the database or electronic files as requested
• Sort and organize paperwork after entering data to ensure it is not lost
• Working with multiple divisions/departments
• Performing accurate and timely data entry related to claims processing, and related files and reports.
• Reconciling and verifying accuracy of all information posted and generated.
• Processing monthly client billings.
• Maintaining accurate records on pending/denied claims, processed and paid claims.
• Issuing denial/EOB letters as appropriate.
• Maintaining orderly files, records, and reports as directed.
• Providing back-up clerical support to Finance Division.
• Providing customer service to providers and members.
• Performing other duties as assigned

Qualifications:

• High school diploma or equivalent required.
• Minimum of 1 year of proven experience in a data entry role or similar position (e.g., call center representative, banking representative, or related office-based role).
• Experience working in positions that require extended periods of sitting and computer-based work in an office environment.
• Demonstrated ability to work effectively in a fast-paced environment.
• Proven experience collaborating as part of a team.
• Strong attention to detail with a high level of accuracy.
• Excellent written and verbal communication skills, with strong integrity and the ability to analyze and process data efficiently.
• Strong customer service skills, including professional telephone communication experience.
• Effective multitasking, time management, and organizational skills.
• Solid filing and record-keeping skills.
• Flexibility to work overtime as needed.
• Strong work ethic and dependable attendance record with consistent employment history.
• Working knowledge of Microsoft Office applications, including Word and Excel.
• Ability to maintain focus for extended periods while performing tasks accurately and efficiently.
• Proficient typing skills, including 10-key data entry.

For further information about BHS please see https://behavioralhealthsystems.com/providers/