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Medical Claims Analyst @Village Practice Management Company,LLC

[Hiring] Medical Claims Analyst @Village Practice Management Company,LLC

Mar 27, 2025 - Village Practice Management Company,LLC is hiring a remote Medical Claims Analyst. 💸 Salary: $20.00/hr to $25.00/hr. 📍Location: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

Join VillageMD as a Medical Claims Specialist (REMOTE). This role is responsible for researching and processing institutional and professional claims while providing subject matter expertise to departmental and corporate projects.

  • Process claims that pend for various hold reasons to assist in the final determination on claim disposition
  • Process adjustments related to projects or provider disputes providing timely follow-up provider call backs
  • Support business definition and testing efforts, attend project meetings, maintain project plans and provide internal and external status reports
  • Research complex claims issues and work with other departments to resolve
  • Research issues, compile feedback and draft corresponding business requirements documents and business decision documents as needed
  • Perform special projects as assigned

Qualifications

  • High school diploma or equivalent is required
  • 5+ years of experience in claims processing commercial and Medicare claims
  • 3+ years of knowledge and experience in researching and resolving operational issues
  • EZ-CAP software experience is highly preferred
  • Previous visibility into Medicare and Medicare Advantage programs is highly preferred

Requirements

  • This is a non-exempt position.
  • The base compensation range for this role is $20.00/hr to $25.00/hr.

Benefits

  • Health insurance
  • Dental insurance
  • Life insurance
  • Access to a 401k plan

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📍 Be aware of the location restriction for this remote position: USA
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Medical Claims Analyst @Village Practice Management Company,LLC
All others
Salary 💸 $20.00/hr to $25.00/hr
Remote Location
USA
Job Type full-time
Posted Mar 27, 2025
Apply for this position Unlock 54,721 Remote Jobs
📍 Be aware of the location restriction for this remote position: USA
Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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