Job Details

Claims Analyst
Remote

Description:
DSI is searching for a Medicaid Claims Analyst who will performs standard, moderately complex processing, and quality tasks in support of outsourced services within a specific industry and functional area.

Responsibilities:

• Performs standard, moderately complex processing, and quality tasks in support of outsourced services within a specific industry and functional area.
• Demonstrates knowledge and skill in assigned work processes and may serve as an informal resource for team members with less experience.
• Understands the business of the client and applies knowledge to support best practice procedures and continuous process improvement.
• Reviews, recommends, and implements modifications to procedures and workflow as necessary to ensure efficient and effective processing of transactions.
• Performs analyses and reports findings. Interprets, audits, and reconciles reports for accuracy or completeness.
• Maintains log records of pertinent data and provides periodic status reports.
• Prepares standard reports for management and clients.
• Research problems and follows up with the client regarding resolution.
• Interfaces with management and clients to resolve issues.

Requirements:

• Knowledge of the fundamental concepts and principles in the Medicaid and/or insurance fields.
• Basic reading and analysis skills to evaluate claims and make adjudication decisions.
• Basic computer use skills.
• bility to multi-task across multiple claims to work efficiently.
• bility to work independently to meet individual production goals.

bout Diversified Systems
Founded in 1990, Diversified Systems is an award-winning Technology Services corporation providing all levels of IT project consulting services nationwide. DSI is headquartered in Columbus, Ohio with regional offices in the American Midwest and East Coast. We offer our consultants a number of flexible and competitive compensation benefit packages.

Diversified Systems is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.

Diversity, Equity and Inclusion
DSI values authenticity and is committed to making sure our employees and partners are valued and respected. At DSI, we believe building a diverse culture is important because we know when people work together, we can achieve better results as a team. DSI realizes that everyone comes from various backgrounds. We celebrate these differences because our employees are our greatest asset as we strive to best meet the needs of those we serve. As part of our ongoing efforts, DSI is focused on advancing equality, diversity, and inclusion by setting high standards to continually evolve our culture. This includes but is not limited to recruiting, community involvement, client delivery, and career development.