A company is looking for a Medical Claims Analyst.
Key Responsibilities Analyze and validate inbound and outbound 837 and 835 claim files Collaborate with internal departments to resolve file-related errors and monitor daily operational reports Serve as the primary point of contact between Claim Operations and health plans, facilitating communication and issue resolution Required Qualifications Bachelor's degree in a related discipline or equivalent work experience 3+ years of experience in healthcare claims processing and analysis, particularly with 837/835 files Strong understanding of HIPAA transaction standards and EDI formats Experience working with TPAs and major health plans is preferred Proficiency in Excel and data visualization tools is a plus