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Change Healthcare Claims Examiner (Remote) in Helena, Montana

Overview of Position

Responsible for resolving claims issues by working with providers, clients, and team members. This individual should be a team player and also be able to proactively pursue departmental improvements. Will need to proactively help the leadership team improve turnaround times, processes, or staff training. Responsible for identifying errors through data analysis and auditing and working with various teams to ensure those errors are corrected in both the short and long term.

What will be my duties and responsibilities in this job?

  • Act as a liaison for clients, research and resolve ongoing provider issues

  • Assist leadership team in improving department processes, training, and turnaround times

  • Responsible for daily claims audits to ensure quality

  • Will receive limited direction on projects and will be responsible for researching and bringing project to a resolution

What are the requirements needed for this position?

  • 1+ years in Medical Claims Processing (Payment), Medical Claims Auditing, or Medical Claims Analysis or related function

  • High School Diploma or GED required

  • Proficiency with computers including MS Office suite

What other skills/experience would be helpful to have?

  • Medical coding knowledge is highly preferred, but not required.

  • Critical Thinking Skills

  • Attention to Detail

  • Written & Verbal Communication

  • Experience with Microsoft Excel

  • Experience Analysis large sums of Claims Data

  • Any knowledge or exposure to Medicare Claim Rules is a plus but is not required.

What are the working conditions and physical requirements of this job?

  • Ability to work diligently on a computer for 8+ hours a day

  • Schedule: Monday - Friday 7am to 330pm CST

    Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Some of our positions require employees to be onsite at a Change Healthcare facility or a Client site, including Medical Facilities. Depending on the site’s health and safety guidelines, you may be required to have medical screenings or vaccinations to meet site requirements, which may include Covid-19 vaccination and/or testing. Further details and requirements will be confirmed during the interview process.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

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