21 days old

Claims Pay Provider Analyst

Kelly Services
Virginia Beach, VA 23452
**Your next good thing is right here.** At Kelly Professional & Industrial, we are all about helping you discover whats next in your career. And we just so happen to have several **Claims Provider Pay Analyst** to work at **an industry leading Healthcare Insurance company.**

**The position is temporarily working from home and must have the ability to work at the job site at a later date. Seeking an individual who is self-starter and can work independently with minimal direct supervision.**

The **Claims Provider Pay Analyst** supports the Payment Dispute process across all lines of business and is specifically responsible for the resolution of Provider Payment Reconsideration requests.

**Why you should apply to be a Claims Provider Pay Analyst:**

+ Pay Rate: $22.70 per hour

+ Project Assignment for 4 + months (Possible Contract to Hire)

+ Monday through Friday 8:00 AM to 4:30 PM

+ It's a great opportunity to get your foot in the door and gain valuable experience!

+ Access to outstanding Kelly perks via

**Whats a typical day as a Claims Provider Pay Analyst? Youll be:**

+ In this role you will review and analyze provider requests to investigate the outcome of claim payment or denial.

+ Determine the appropriate resolution using strict adherence to internal guidelines, policies, and procedures.

+ Work with various departments, when necessary, to determine root cause and appropriate resolution.

+ Must remediate impacted claims.

+ Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.

+ Analyzes problems and provides information/solutions.

+ Operates a computer to obtain and extract information, documents information, activities, and changes in the database.

+ Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

+ Researches and analyzes data to address operational challenges and customer service issues.

+ Provides external and internal customers with requested information.

+ Uses computerized systems for tracking, information gathering and troubleshooting.

**This job might be an outstanding fit if you:**

+ 3 years experience working in claims, familiarity with medical coding and medical terminology

+ Demonstrated business writing proficiency

+ Good understanding of the claims process, the company s internal business processes, and internal local technology; or any combination of education and/or experience which would provide an equivalent background

+ Possess a HS Diploma or GED

+ Excellent verbal and written communication skills

+ Good problem-solving skills

+ Experience with Microsoft based programs and computer products plus dual monitor experience

+ An acute attention to detail/accuracy and effective note taking/documenting skills

**Your next good thing is right here.** At Kelly Professional & Industrial, we are all about helping you discover whats next in your career.

**What happens next?**

Once you apply, you will proceed to next steps if your skills and experience look like a good fit. But dont worryeven if this position doesnt work out, you are still in our network. That means all our recruiters will have access to your profile, expanding your opportunities even more.

**Important information: This position is recruited for by a National Kelly Recruiter, not your local Kelly branch. Please submit your resume to be considered for this position by pressing the SUBMIT RESUME button below.


**Why Kelly** **** **?**

As a worker today, its up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find whats next is what were all about. We know whats going on in the evolving world of workjust ask the 440,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.

**About Kelly** ****

At Kelly, were always thinking about whats next and advising job seekers on new ways of working to reach their full potential. In fact, were a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live (plus, did we mention we provide a ton of benefits ?). Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.

Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.
Posted: 2021-11-08 Expires: 2021-12-09

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Claims Pay Provider Analyst

Kelly Services
Virginia Beach, VA 23452

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