Claims Processor Analyst

• Educates patients, their families and health care professionals in the use of the organization's products and services.

• Organizes and conducts classes and individual meetings to demonstrate how the organization's products and services contribute to the maintenance and improvement of health and/or the management of specific diseases and physical conditions.

• Prepares and distributes educational and instructional material (e.g., booklets, promotional kits).

• May expand patient pool through participation in referral and screening programs.

• Provides information and suggestions to sales and/or medical representatives and management on the results of educational programs, including comments and questions from patients and health care professionals.

• Has developed specialized skills or is multi-skilled through job-related training and considerable on-the-job experience.

• Completes work with a limited degree of supervision

• Likely to act as an informal resource for colleagues with less experience

• Identifies key issues and patterns from partial/conflicting data

• Post-secondary certifi./Assoc. degree in applicable discipline and 3-5 Yrs of related Exp.

• Previous Medical Claims Experience

• Strong Problem-Solving Skills

• Previous Experience Calling Plans & figuring out patient’s out of pocket costs for both Medical & Pharmacy Plans

All your information will be kept confidential according to EEO guidelines.