RRT Analyst - Product

Allied Benefit Systems • Chicago, IL

9d • $50,000 - $55,000 • Remote

About The Position

The RRT (Rapid Response Team) Analyst is responsible for reviewing, analyzing, and adjusting medical claims to ensure accurate processing in accordance with regulatory requirements, payer policies, and internal guidelines. This role involves investigating claim discrepancies, validating benefit coverage, correcting errors, and communicating with providers, members, and internal teams to resolve issues promptly and efficiently.

Requirements

• At least 1 year of experience in medical claims processing, claims adjustments, or related healthcare operations required.
• Working knowledge of medical terminology, coding systems (ICD 10, CPT, HCPCS), and industry standard reimbursement method required.
• Proficiency in claims processing software and Microsoft Office applications required.
• Strong analytical, problem solving, and organizational skills required.
• Ability to work accurately under deadlines and manage high volume workloads required.
• Knowledge of UB 04 and CMS 1500 claim forms required.

Nice To Haves

• Associate degree in Healthcare Administration or related field preferred
• Familiarity with utilization management workflows or medical management operations preferred.

Responsibilities

• Review medical claims flagged for adjustment, correction, or reconsideration.
• Verify claim accuracy, including coding (ICD 10, CPT, HCPCS), billed charges, and reimbursement methodologies.
• Research missing or conflicting information and resolve discrepancies in accordance with organizational and payer rules.
• Process claims adjustments, denials, and reopens while maintaining high accuracy standards.
• Analyze medical records, billing documents, and provider submissions to confirm the validity of claims.
• Identify patterns or recurring errors and escalate them for process improvement.
• Ensure claims align with contractual obligations, fee schedules, and prior authorization requirements.
• Ensure adherence to federal and state regulations, including HIPAA.
• Maintain up to date knowledge of benefit plans, reimbursement policies, and regulatory guidelines.
• Meet or exceed quality and productivity performance metrics.
• Communicate with providers, members, and internal departments (Customer Service, Medical Management, Provider Relations) to clarify claim issues.
• Document claim findings, rationales, and adjustments in the claims processing system.
• Support internal teams with claim related questions or trends.
• Other duties as assigned

Benefits

• Compensation is not limited to base salary.
• Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
• Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time.
• All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process.
• It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees