Claims Analyst

Lumen Solutions Group Inc•Baltimore, MD
•Onsite

About The Position

The ideal candidate should have hands-on experience with healthcare claims, data research, validation, and Excel, with strong analytical and problem-solving skills. Medical Coding or claims experience is highly preferred, along with familiarity with Adobe, FixIt, MS Word, and Luminix.

Requirements

  • 2+ years of relevant operational/analytical experience.
  • 1–2 years of data entry experience.
  • Strong claims support, research, data validation, and Excel skills.
  • Microsoft Excel is a MUST HAVE.
  • Strong analytical, problem-solving, organizational, and communication skills.
  • Must be detail-oriented and able to work independently.

Nice To Haves

  • Medical Coding or healthcare claims experience is a strong plus.
  • Experience with Adobe, FixIt, MS Word, and Luminix is preferred.
  • Bachelor’s degree preferred; 4 additional years of relevant experience may substitute for the degree.

Responsibilities

  • Research and resolve operational/system issues.
  • Analyze data, identify root causes, and support process improvements.
  • Validate claims/data and maintain operational documentation.
  • Develop and execute testing methods and document results.
  • Provide process/system support and assist with user training.
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