Key skills
AI
About this role
Role Overview
- Daily intake, transformation, validation, configuration, and loading of claims and EOB data
- File intake and organization
- Data standardization & short-term file corrections
- System processing, validation, & reconciliation
- Client & policy configuration
- Vendor transition & knowledge transfer
- Partnering with IT during modernization (operator, analyst, & QA role)
Requirements
- Strong Excel and data‑validation skills
- Ability to operate system‑based workflows
- Knowledge of healthcare code sets (diagnosis, procedure, revenue codes, etc.)
- Understanding of healthcare claims and EOB data
- Interest and/or experience in leveraging AI for file review and anomaly detection
- Strong documentation skills
- Ability to work across diverse teams
- High attention to detail and PHI compliance.
Benefits
- Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
- Free Mental Health & Enhanced Advocacy Services
- Paid Time Off, Holidays, Preferred Partner Discounts and more.