Claims Analyst

At SCP Health what you do matters

As part of the SCP Health team you have an opportunity to make a difference. At our core we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients 7500 providers 30 states and 400 healthcare facilities SCP Health is a leader in clinical practice management spanning the entire continuum of care including emergency medicine hospital medicine wellness telemedicine intensive care and ambulatory care.

Why you will love working here:

- Strong track record of providing excellent work/life balance.

- Comprehensive benefits package and competitive compensation.

- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration courage agility and respect.

CORE VALUES

In alignment with the core values of SCP-Health this role will demonstrate the organizations four core values:

• Agility the Accounting Specialist drives the direction of the department based on ever changing internal and external trends ensuring that organizational performance objectives are achieved.
• Respect the Accounting Specialist creates an environment that fosters respect for all employees to assure courtesy professionalism and dignity are exhibited through all interactions with t
• Courage the Accounting Specialist supports policies metrics and work standards to ensure our teams consistently demonstrate a willingness to do what is needed to make a difference for our team.
• Collaboration the Accounting Specialist will coordinate across the department as needed to assist and ensure a One-Team approach.

JOB DESCRIPTION:

Responsibilities:

• Prepare weekly reports on open/closed claims reconciliation status and outstanding risks.
• Reconcile accrued liability account until all claims are resolved.
• Assist with auditing files before processing.
• Maintain documentation to support compliance requirements.
• Identify recurring issues and recommend process improvements.
• Work directly with IDREs and payors to resolve discrepancies and document outcomes.
• Participation in month-end closing procedures and schedule preparation.

Knowledge Skills and Abilities:

• Expert in Microsoft Office and Microsoft Excel
• High level of accountability accuracy and efficiency especially when multitasking
• Analytical collaborative and trustworthy
• Ethical thorough and attentive with excellent verbal and written communication skills
• Maintain quality standards while working in a high-volume fast-paced environment
• Must be able to set priorities and demonstrate sound judgment in handling problems
• Must be extremely well organized and demonstrate great time management skills
• Must be a team player and work well with others
• Must be able to work under moderate stress and pressure while maintaining a professional attitude
• Must be able to communicate effectively with professionals

EDUCATION (Required and/or Preferred):

• High school diploma or general education degree (GED) required
• Bachelors degree in Accounting Finance Business or related field preferred (or equivalent experience).

FIELD OF STUDY:

• Accounting/Finance/Business/Reimbursement

WORK EXPERIENCE/QUALIFICATIONS:

• 2 years of experience in claims revenue cycle accounting or healthcare reimbursement
• Strong knowledge of Excel (pivot tables advanced formulas reconciliations)
• Basic understanding of accounting principles

WORK ENVIRONMENT AND PHYSICAL DEMANDS:

• Professional setting
• Continuous sitting
• Continuous oral & written communication and listening skills
• Continuous computer use
• Occasional bending kneeling lifting pulling & pushing up to 10 pounds
• Job requires a high level of mental awareness

PRIMARY LOCATION:

• SCP Corporate Lafayette Office

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