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.