Benefits Analyst (Claims Focused Analyst)

Inovalon(26 days ago)

Bowie, MDOnsiteFull TimeMedior$56,000 - $75,000Claims Operations

About this role

The Benefits Analyst performs in-depth analysis and creates healthcare provider business rules to modify and edit medical claims, ensuring high first-pass acceptance rates. The role is customer-facing and involves reviewing requests, building and testing claim edits, and working cross-functionally with technology and operations teams. The analyst also investigates claim failures, researches payer compliance, updates documentation, and helps implement timely solutions to meet SLAs.

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Required Skills

Medical Billing
Claims Processing
Business Rules
Logic Building
X12 Files
Medicare Rules
Problem Solving
Analytical Skills
Client Communication
Ticketing Systems

+5 more

Qualifications

Bachelor's Degree

About Inovalon

inovalon.com

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