Public Consulting Group

Claims Analyst 1

Job Locations US-NH-Portsmouth | US-MA-Boston
Posted Date 2 days ago(1/14/2022 4:52 PM)
Job ID
2022-7594
# of Openings
1
Category
Operation Support
Type
Regular Full-Time
Practice Area
Health 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 Health practice offers in-depth programmatic knowledge and regulatory expertise to help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG’s Health team helps organizations deliver quality services with constrained resources to promote improved client outcomes. To learn more, visit http://www.publicconsultinggroup.com/health/ .

 

Career Information 

 

Our commitment to our clients flows from our commitment to our staff. We focus our business endeavors on the public sector because we value the missions and constituents that government agencies serve. Core to our business is the fundamental tenet that a diverse workforce instills a deeper appreciation of our clients’ challenges. At PCG, diversity is valued and inclusion is an expectation. We want our teams to reflect the communities we serve and are committed to hiring, retaining, and promoting a diverse staff. This ensures a variety of viewpoints are included in our project work, enhancing not only the culture in our offices around the world, but also improving the level of service we provide to our clients.

Responsibilities

 

  • Analyzes the development of claims assigned at each level of the adjudication process
  • Monitors and gives direction regarding specific tasks on claims
  • Provides monthly reporting statistics
  • Ensures adherence to claim timeliness and accuracy performance standards
  • Prepares for and participates in various meetings, including status reports, process improvement meetings and meetings related to collection of required data
  • Assists with quality control projects
  • Assists with preparation of other written reports and materials for clients
  • Files and organizes various materials (electronic and hardcopy)
  • Schedules maintenance of office equipment
  • Enters and reviews information in databases
  • Daily Pick Up from Post Office (Mail)
  • Processes incoming and outgoing mail (USPS, Fedex/UPS and Email)
  • Coordinates shipping through UPS and FedEx
  • Greets walk-in clientele
  • Assist with other duties as assigned

Qualifications

 

Education/Experience

 

  • High School Diploma or above
  • 2+ years of Medical Claims experience
  • Must be fully vaccinated for COVID
  • Bachelor's Degree (Preferred) 

 

Required Skills

 

  • Ability to evaluate, coordinate and perform a complex set of planning, development, and administrative tasks
  • Ability to take initiative, prioritize tasks and manage workflow to meet deadlines
  • Ability to maintain a record keeping and follow-up system with a large volume of data
  • Strong Microsoft application skills
  • Excellent organizational, oral presentation and written communication skills
  • Ability to work both in a team situation and autonomously
  • Existing knowledge or experience with state government, health insurance payment systems (particularly Medicare/Medicaid), and/or cost accounting are highly advantageous
  • Knowledge and understanding of appropriate laws and regulations and applicable government agencies

 

#LI-BC1

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.