campusopportunities
Health Care Claims Entry Level Analyst
At a Glance
- Location
- Remote
- Work Regime
- remote
- Experience
- 1+ years
- Posted
- 2026-03-19T11:09:23-04:00
Key Requirements
Required Skills
Domain Knowledge
- Accounting
- Healthcare
- Insurance
- Medical
- Pharmaceutical
- Regulatory
Requirements
1 year of experience in healthcare consulting, provider billing, insurance claims adjudication, or related area.
Familiarity with healthcare databases and systems.
Knowledge of healthcare compliance regulations.
Basic knowledge of medical and pharmaceutical claims processing practices
Thorough knowledge of medical coding terminology (e.g., Revenue, DRG, CPT, ICD-10, NDC codes)
Experience with Alteryx, SQL, and other data analysis tools.
Responsibilities
The Healthcare Claims Analyst is responsible for analyzing and auditing healthcare claims data (medical, pharmaceutical, dental, supplemental sickness, etc.), identifying trends, and providing actionable insights to improve operational efficiency and client outcomes.
Analyze healthcare claims data to identify patterns, anomalies, and cost-saving opportunities.
Prepare detailed reports and dashboards for internal and client use.
Collaborate with cross-functional teams to implement data-driven solutions.
Ensure compliance with healthcare regulations and data privacy standards.
Support audits and quality assurance processes related to claims data