Location: Remote. Office is headquartered in Alameda, California.
What We Do
Boost Healthcare is focused on helping healthcare providers identify and recover revenue. Our service lines include Zero Balance, AR Solutions, and Financial & Strategic Advisory. Our team works with hospitals and physician groups to improve overall revenue by recovering denied and underpaid claims from both commercial and government payers. We provide clients with claims data showing payer performance and root cause analysis of denial and underpayment issues. We assess their overall business performance so they can focus on the patient experience and quality of care and let us reduce administrative burden and help drive their bottom line. Our services are contingency based with no upfront costs to our clients.
Position Summary
As a Healthcare Claims Analyst, you will work closely with your team on assigned project(s) to be a trusted point of contact for our clients and team members. The Healthcare Claims Analyst will support the success of the Zero Balance department by evaluating and reviewing contracts between hospitals and insurance carriers and researching trends and why underpayments are occurring. The ideal candidate for this position will have a demonstrated interest in healthcare and a desire to strengthen their analytical, team, leadership, and client relations skills.
Primary Duties And Responsibilities
Review contracts between hospitals and insurance carriers, model claims data, and identify lost revenue
Contact responsible party for claim payment
Prepare and forward claim appeal letters with supporting documentation for denial overturn
Establish working relationships with individuals at insurance companies
Communicate with teammates and leadership to discuss and identify trends
Contact insurance companies via phone, email, and written appeal to recover dollars
Perform analysis on large data sets to identify underpayment and denial trends
Conduct research on current laws and regulations pertaining to hospital reimbursement methodology
Contribute to client decks and weekly reports to track progress of project goals and present to leadership
Strive to maintain a personal hourly rate by meeting project metrics and goals efficiently
Attend Privacy and Security Training as required by the HIPAA Awareness Program and comply with all guidelines, policies and procedures to assure sensitive or confidential information is protected in accordance with the HIPAA rules and regulations
Other duties as assigned
Required Qualifications
Detail-oriented and organized with the ability to manage time effectively and prioritize competing tasks
Excellent communication skills both written and verbal
Effective documentation skills
Strong organizational skills
Possesses analytical capabilities and financial acumen
Must have private and dedicated workspace that ensures confidentiality
Base internet download speed of 10 MBPS and upload of 35 MBPS
Must reside in AZ, FL, GA, IL, LA, MA, MN, OH, OR, PA, SC, TX, or WA
Nice-to-Have Qualifications
Undergraduate degree or internship in a healthcare related field
Understanding of health insurance, EHR’s, EMR’s, and claims handling
Healthcare operations experience
Understanding of auditing and reporting tools such as SQL
Presentation skills and client relations experience a plus
Who We Are
Boost Healthcare is a remote team of 70+ employees and growing with a nationwide clientele base lead by Liana Hamilton, founder and managing partner. Our core values are being Trustworthy, Dedicated, Valued, Resourceful and Fun. We prioritize hard work and collaboration among our teams, our clients, and the communities we serve. We place high importance on connection, including face-to-face daily interactions, and make sure to carve out time for play. We hope you join our team and grow with us.
Culture
The culture at Boost Healthcare embraces a passion for continual process improvements, collaboration and building trusted long-lasting partnerships within our team and partners. We believe that every voice matters, needs to be heard and we value all perspectives as inclusiveness is key to our success. Maintaining a strong workplace culture is a top priority for us so if you want to focus on people first, join our team.
Compensation
The salary range for a Healthcare Claims Analyst ranges from $52,300-$79,500.
Benefits
Boost Healthcare provides a competitive benefits package including medical, dental, vision, and 401k benefits as well as a flexible schedule and stipends that cover education and remote work.
Boost is an Equal Opportunity Employer. Offers of employment are contingent on successful completion of background check.
Seniority level
Entry level
Employment type
Full-time
Job function
Finance and Sales
Industries
Hospitals and Health Care
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