Public Consulting Group

Claims Analyst

Job Locations US-AZ-Phoenix
Posted Date 1 month ago(5/6/2021 7:00 AM)
Job ID
2021-6493
# of Openings
1
Category
Operation Support
Type
Regular Full-Time
Practice Area
Education Services

Overview

About Public Consulting Group

Public Consulting Group, Inc. (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has over 2,500 professionals in more than 60 offices worldwide. PCG’s Education practice offers consulting services and technology solutions that help schools, school districts, and state education agencies/ministries of education to promote student success, improve programs and processes, and optimize financial resources. To learn more, visit http://www.publicconsultinggroup.com/education/.

Responsibilities

 

  • Processes Professional claims accurately and timely within claiming system
  • Reviews claims for irregularities, accuracy and completeness
  • Execute tasks according to set procedures, guidelines, and policies
  • Maintains updated records and prepares required reports
  • Updates and/or creates written procedures to document processes
  • Builds and maintains professional relationships with internal and external clients
  • Accurately and concisely relays relevant information to clients via multiple platforms of communication
  • Meets personal and team goals and metrics
  • Uses available resources to manage workload
  • Actively participates in staff meetings
  • Communicates with supervisor on work status
  • Assists with other duties as assigned

Qualifications

  • Proficient in Microsoft applications; particularly Word, Outlook and Excel
  • Ability to understand and use all systems required to perform duties, using dual screens
  • Ability to take initiative, prioritize tasks and manage workflow to meet deadlines
  • Ability to interpret, comprehend and follow policies and plan provisions
  • Excellent interpersonal skills
  • Excellent oral and written communication skills
  • Problem solving and analytical skills
  • Ability to work autonomously and within a team
  • Ability to balance working remote or from an office

Education:    High School degree or equivalent.  A Bachelor's Degree is preferred.

 

Experience:  Two plus years’ experience working in claims or healthcare environment as well as customer Service Call Center or Customer Facing positions.  Basic understanding of medical coding guidelines and medical terminology preferred.  Basic understanding of healthcare and claims concepts preferred.

 

#LI-DM1

 

EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Connect With Public Consulting Group!

Not ready to apply? Connect with Public Consulting Group for general consideration.