Claims Analyst
About The Position
Join a USA Today Top 100 Workplace & Best in KLAS Team! Claims Analyst- Hybrid Baldwin Park Pay Range: $20.00- $22.00 per hour | Schedule: Monday-Friday 8:00 AM- 4:30 PM | Location: Orlando, FL About RSi: RSi is a leading Revenue Cycle Management company serving healthcare organizations nationwide. We are committed to innovation, customer service excellence, and developing future leaders. Our culture values diversity, teamwork, and a tech-forward approach. Position Summary: Join our dynamic Medicaid Enrollment Department as a Claims Analyst. In this hybrid role, you’ll work both remotely and in-office (three days per week), supporting Medicaid enrollment and retro authorization processes. You’ll collaborate with internal teams and external partners to ensure timely and accurate authorization, with opportunities to expand into Enrollment Specialist duties as needed.
Requirements
- High School Diploma or equivalent
- Authorized to work in the United States; able to pass a background check
- Exceptional customer service and communication skills
- Strong problem-solving and case management abilities
- Proficiency with technology (Microsoft Word, Excel, Outlook, phone systems, etc.)
- Ability to work independently and collaboratively in a hybrid environment
Nice To Haves
- Experience with Medicaid, Medicare, TPL, and commercial insurance recovery
- Understanding of HIPAA and HITECH patient confidentiality laws
- Familiarity with hospital systems and healthcare environments
- Prior experience in enrollment or authorization roles
Responsibilities
- Process retro authorization requests for Medicaid, ensuring compliance with state and federal guidelines
- Collaborate with hospital personnel, clients, and payers to verify eligibility and secure authorizations
- Respond promptly to daily inquiries and resolve issues related to Medicaid enrollment and authorizations
- Maintain effective workflow and support organizational standards, policies, and procedures
- Foster a positive, customer-focused work culture
- Support enrollment activities, including application review, eligibility verification, and documentation
- Perform other duties as assigned, including Enrollment Specialist tasks when required
Benefits
- Competitive salary
- Medical, dental, and vision insurance
- Company-paid life insurance
- Paid volunteer time off
- Free wellness memberships
- 401K retirement plan
- Paid training and mentoring
- Opportunities for advancement
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
