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Medical Claims Analyst

Company: Advanced Correctional Healthcare
Location: Franklin
Posted on: January 16, 2022

Job Description:

Advanced Correctional Healthcare, Inc. is proud to have been awarded the Better Business Bureau's Torch Award for Ethics in 2019, and to be certified in 2020 by Fortune Magazine as a Great Place to Work for the fifth consecutive year!POSITION: Medical Claims AnalystLOCATION: Corporate Office - Franklin, TNHOURS: Full-Time, 40 hours, Monday-Friday, 8AM-5PM
ACH, employer of 1000+ employees, has an immediate opening for someone who wants to work in an employee-focused culture and serve an underserved population.ACH values their employees.In return for your education, experience, and skills, you will be highly compensated. Employees are encouraged to use the Professional Development program to further their professional skills. This 40 hour Monday-Friday Medical Claims Analyst position is based in Franklin, TN. Remote or Hybrid schedule available.Essential functions of Medical Claims Analyst:

  • Review bills for appropriateness based on individual contracts
  • Re-price inmate medical claims per network provider terms
  • Data entry of claims in SharePoint database
  • On-line data entry of network re-pricing
  • Run reports as required through SharePoint
  • Communicate with clients via phone, email or fax as required
  • Segregate bills for reconciliation back to County
  • Route bills for proper approval
  • Copying, scanning, and filing as required
  • Any and all other duties assigned.
    Required education and experience:
    • Bachelor's degree in field applying for or the equivalent experience
    • 2+ years of related experience
    • Typing & 10-key with accuracy
    • Strong Microsoft Office, Internet, and email skills
    • Strong attention to detail
    • Must be able to work autonomously
    • Active CPR certification
      We offer full benefits, flex time off, tuition reimbursement, generous 401K and more!
      Health insurance benefits begin on day of employment!ACH provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Follow these links to learn more about equal employment opportunity, the Employee Polygraph Protection Act, or the Family and Medical Leave Act.IND123

Keywords: Advanced Correctional Healthcare, Franklin , Medical Claims Analyst, Professions , Franklin, Tennessee

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