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Claim Data Integrity Analyst - Atlanta

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Waystar

Apr 13

Applications are closed

  • Internship
    Full-time
    Off-cycle Internship
  • Data
  • Atlanta

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

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

Waystar

Simplify healthcare payments so providers + patients can focus on what matters most.

Technology
Industry
1001-5000
Employees

Mission & Purpose

Waystar provides market-leading technology that simplifies and unifies healthcare payments. Our cloud-based platform streamlines workflows and improves financials for healthcare providers of all kinds, and brings more transparency to the patient financial experience. The Waystar platform is used by more than 450k providers, 750 health systems and hospitals, and 5k health plans—and integrates with all major HIS and practice management systems.