Claims Analyst

Company Name:
ValueOptions, Inc., a Beacon Health Options company
ValueOptions, Inc., a Beacon Health Options company
ValueOptions is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled.
Position Location: NY - Latham
AAP Reporting Location: NY - Latham
ID: 32499
Job Family: Claims
Functional Area: CLAIMS
FTE Status: Full time
Scheduled Weekly Work Hrs: 40
Workday Schedule: Weekdays Only
Workday Start Time: 8:00
Workday End Time: 4:30
Variable Work Schedule:
We are seeking a dynamic individual to be responsible for processing and adjusting claims of a complex nature or as part of a special project. The Claims analyst also provides back-up technical assistance to other claims processors
Position Responsibilities:
Process and adjust complex behavioral health claim claims or those claims that require additional research and resolution.
Adjudicate and/or adjust expedited/priority claims.
Support testing of all system modifications and migrations.
Provide back up to the Technical Assistant for absences and meeting coverage.
Advise the Manager of any policies and procedures needed to support the unit.
Process and adjust any and all types of behavioral health care claims.
Contribute to a team environment by maintaining excellent interpersonal skills and demonstrating flexibility with daily operations/function.
Communicate system issues to management.
Position Requirements:
Education: High school diploma or equivalent
Relevant Work Experience: Minimum of two years of claims processing experience in a health care environment or a minimum of one year internal claims processing experience.

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