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Internship

Claim Data Integrity Analyst

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Waystar

24d ago

🚀 Off-cycle Internship

Salt Lake City

AI generated summary

  • You must have project management, communication, analytic, and problem-solving skills. Knowledge of Windows, healthcare claims, EDI X12, and SQL required. College degree or equivalent experience is needed. Take ownership and work independently.
  • You will be responsible for researching and resolving claim rejections, contacting payers to address rejection messages, creating client-friendly responses, staying updated on payer changes, providing webinars on resolving rejections, and evaluating the use of solution articles.

Off-cycle Internship

DataSalt Lake City

Description

  • Function as an Analyst, Claim Data Integrity for EDI rejections with Waystar client support, trading partners and intermediaries. Analyst must fully understand payer rejections, payer edits and all associated code set requirements. Effectively communicate and interpret rejection messages correctly and improve the department processes and procedures to ensure the highest value possible for our customers. The Analyst will work with multiple Waystar departments to limit the number of claims that are rejected by payers and intermediaries.

Requirements

  • Demonstrated project management skills.
  • Excellent written and verbal communications skills.
  • Excellent analytic and problem-solving skills.
  • Knowledge of Windows-based computer environment, including MS Office and related programs.
  • Active ownership and responsibility regarding duties and tasks.
  • Ability to work unsupervised in a corporate environment.
  • Knowledge of healthcare claims transactions.
  • 2-year or 4-year college degree or equivalent experience.
  • EDI X12 healthcare transaction experience.
  • General SQL knowledge

Education requirements

Currently Studying
Second Year

Area of Responsibilities

Data

Responsibilities

  • Enable customer self-sufficiency in resolving claim issues by researching, analyzing, and addressing claim rejections and responses. Ensure that the parent case owner is provided with a reasonable update every two business days on the case progress
  • Contact intermediaries and payers to consult with them about specific rejection messages and/or coach them on how to best alter it appropriately
  • Connect with client support to discuss more efficient methods of giving response messages to enable them to resolve their rejections more easily
  • Proactively map raw payer/intermediary rejections and produce more “friendly” client-facing messages
  • Monitor and keep up with payer changes and how to accommodate new requirements internally
  • Constantly pursue better responses or claim level acknowledgements for both rejected and accepted claims
  • Continuously encourage and evaluate the use of solution articles
  • Establish webinars and /or alerts on a monthly/quarterly schedule to go through top rejections and how to resolve
  • Maintain a full understanding of claim response reports
  • Perform other duties and /or projects as assigned by management within the area of responsibility and control
  • Can work all functions within Claim Data Integrity including To-do Cases, Validations, Tech Cases, and Mapping

Details

Work type

Full time

Work mode

office

Location

Salt Lake City

Benefits

  • Competitive total rewards (base salary + bonus, if applicable)
  • Customizable benefits package (3 medical plans with Health Saving Account company match)
  • Generous paid time off starting at 3 weeks + 13 paid holidays including 2 personal floating holidays
  • Paid parental leave (including maternity + paternity leave)
  • Education assistance opportunities and free LinkedIn Learning access
  • Free mental health and family planning programs, including adoption assistance and fertility support
  • 401(K) program with company match
  • Pet insurance
  • Employee resource group