Medical Claims Analyst

Responsibilities

• Review and process Medicare claim submissions for accuracy and compliance.
• Investigate claim discrepancies and coordinate with providers and beneficiaries to resolve issues.
• Maintain up‑to‑date knowledge of federal Medicare regulations and policy changes.
• Generate daily, weekly, and monthly reporting on claim volume, turnaround time, and error rates.
• Collaborate with the IT and data analytics teams to improve claim processing workflows.

Requirements

• Bachelor’s degree in Health Administration, Business, Finance, or related field.
• Minimum 2 years of experience in medical claims processing, preferably within Medicare.
• Strong analytical skills with proficiency in Excel and SQL.
• Excellent written and verbal communication abilities.
• Detail‑oriented, able to work independently and meet tight deadlines.
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is a plus.

Benefits

• Competitive salary ranging from $65,000 – $80,000 annually.
• Health, dental, and vision insurance with 100% employee premium coverage.
• 401(k) plan with company match up to 5%.
• Paid time off: 15 vacation days, 10 sick days, and 8 paid holidays.
• Professional development stipend and tuition reimbursement.
• Flexible work‑from‑home policy two days per week.

FAQ

• Where is the office located? Our New Jersey office is at 1500 Market Street, Newark, NJ 07102.
• Do you sponsor work visas? Currently, we only consider candidates who are authorized to work in the United States.
• What is the interview process? The process includes a phone screen, a technical assessment, and a final interview with the hiring manager and HR.
• When can I expect to hear back? Applicants will receive an update within 10 business days of submitting their application.