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Wolfe | Pincavage

Healthcare Claims Analyst

Entry LevelOn-site
Location

South Miami, FL

Salary

$53k–$60k/yr

Experience

Not specified

Posted

1 day ago

Skills

bachelor's degreeanalytical skillsexcel proficiencyhealthcare billing familiaritysalesforce experiencedeadline managementattention to detailorganizational skills

Job Description

Summary: Wolfe | Pincavage is seeking a detail-oriented Claims Analyst to join their No Surprises Act team. The role involves managing out-of-network insurance payment disputes and requires strong analytical skills and a genuine interest in healthcare. Responsibilities: - Pulling and managing claims data from hospital client systems and Salesforce - Preparing and submitting open negotiation notices and IDR submission packages - Tracking and enforcing strict regulatory deadlines across a high-volume caseload - Coordinating with hospital billing teams to gather records and documentation - Running reports and flagging discrepancies to support attorney review Required Qualifications: - Bachelor's degree in Math, Business, Accounting, Finance, Healthcare Administration, or a related field - Strong analytical skills and exceptional attention to detail - Excel proficiency and comfort working with large data sets - Highly organized with the ability to manage competing deadlines - No prior experience needed, we will train the right candidate Preferred Qualifications: - Familiarity with health insurance billing (EOBs, CPT/HCPCS codes, revenue cycle) - Salesforce experience - Exposure to the No Surprises Act Required Skills: Bachelor's degree, Analytical skills, Excel proficiency Important Skills: Healthcare billing familiarity, Salesforce experience Nice-to-Have Skills: Deadline management, Attention to detail, Organizational skills Benefits: Health, dental, and vision insurance., 401(k)., PTO and paid holidays.

Benefits

Health, dental, and vision insurance.
401(k).
PTO and paid holidays.

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Healthcare Claims Analyst at Wolfe | Pincavage | Tsenta