Claims Analyst jobs in Reno, NV

Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Claims Examiner
  • Universal Health Services, Inc.
  • Reno, NV FULL_TIME
  • Responsibilities

    Job Summary: The Claims Examiner is detail-oriented and will be responsible for reviewing and adjudicating health insurance claims for all products and all lines of business, including but limited to Medicare, Self-Funded, Fully Insured, ensuring accuracy compliance with policies and regulations and timely settlements. This role involves assessing claims, verifying information, and communicating effectively with internal stakeholders, members, providers and their office staff and other insurance companies.


    Qualifications

    Qualifications and Requirements:

    • High school diploma or equivalent required.
    • Associate degree in healthcare administration, Business Administration, or related field preferred.
    • Two years' experience as a Health Insurance Claims Examiner or similar role in the insurance industry preferred.
    • In-depth knowledge of medical terminology, coding systems (ICD-10, CPT, HCPCS), and healthcare billing procedures.
    • Familiarity with health insurance policies, regulations, and compliance standards.
    • Strong analytical skills with attention to detail and accuracy in claims processing.
    • Excellent communication and interpersonal abilities to interact effectively with customers and stakeholders.
    • Proficiency in using computer systems, including claims processing software and Microsoft Office Suite.
    • Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
    • Certification in Health Insurance Portability and Accountability Act (HIPAA) compliance is a plus.
    • Strong commitment to confidentiality and ethical conduct in handling sensitive healthcare data.

    EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

    We believe that diversity and inclusion among our teammates is critical to our success.

    Notice

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or 1-800-852-3449.

     

  • 18 Days Ago

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Supervisor, Claims
  • UHS
  • RENO, NV FULL_TIME
  • Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Pr...
  • 24 Days Ago

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Claims Examiner
  • UHS
  • RENO, NV FULL_TIME
  • Responsibilities Job Summary: The Claims Examiner is detail-oriented and will be responsible for reviewing and adjudicating health insurance claims for all products and all lines of business, includin...
  • 1 Month Ago

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Claims and Contracts Administrator
  • LP Insurance Services LLC
  • Reno, NV FULL_TIME
  • DescriptionWe are LP InsuranceLP Insurance Services is an established and growing insurance brokerage firm, located in Arizona, California, Nevada, and New Mexico.We invest in our employees, clients a...
  • 20 Days Ago

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Bilingual Claims Processor
  • Access To Healthcare Network
  • Reno, NV FULL_TIME
  • Best Place to Work in Northern Nevada - 2nd Place three years in a row. Best Place to Work for Working Parents - 2022. Check out our AWESOME Benefits! 4 weeks Paid Time Off in the First Year - Front L...
  • 1 Day Ago

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Insurance and Claims Representative
  • Renown Health
  • Reno, NV FULL_TIME
  • Position Purpose This position is accountable for the billing and collections of Renown healthcare claims, ensuring timely and accurate claim submission, maximizing reimbursement for those services re...
  • 26 Days Ago

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0 Claims Analyst jobs found in Reno, NV area

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Life Insurance Sales Representative
  • Victory Financial Services
  • Reno, NV
  • Job Description Job Description Job Description: We are seeking a motivated and dedicated individual to join our team as...
  • 4/24/2024 12:00:00 AM

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Insurance Agent (Sales, Customer Service)
  • Freeway Insurance Services America LLC
  • Reno, NV
  • Sign-On Bonus Opportunity of up to $3,500* Pay Range: $50000 - $80000 / year Our Perks: Unlimited/Uncapped commission Lu...
  • 4/24/2024 12:00:00 AM

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Insurance Agent (Sales, Customer Service)
  • Freeway Insurance Services America LLC
  • Sparks, NV
  • Sign-On Bonus Opportunity of up to $3,500* Pay Range: $50000 - $80000 / year Our Perks: Unlimited/Uncapped commission Lu...
  • 4/24/2024 12:00:00 AM

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Compliance Analyst
  • UHS
  • Reno, NV
  • Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems...
  • 4/23/2024 12:00:00 AM

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Entry level to insurance agency owner remote (Reno, NV)
  • Adair Agency
  • Sun Valley, NV
  • We are seeking a highly motivated individual that is ready to become licensed or who is currently licensed to join our t...
  • 4/23/2024 12:00:00 AM

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Remote Regulatory Compliance Analyst (Insurance Industry)
  • National General Insurance
  • Carson City, NV
  • Job Description Position/Title: Remote Regulatory Compliance Analyst (Insurance Industry) ** NOTES: Ideal candidate will...
  • 4/22/2024 12:00:00 AM

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Medicare Sales Agent
  • GoHealth
  • Reno, NV
  • * In order to be considered, applicants must have an active Health Insurance license. Work remotely from your home. Set ...
  • 4/22/2024 12:00:00 AM

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Affordable Field Compliance Specialist - Onsite
  • FPI Management, Inc.
  • Reno, NV
  • Company Description Multifamily Property Management Job Description The Field Compliance Specialist (FCS) will be assign...
  • 4/20/2024 12:00:00 AM

Reno (/ˈriːnoʊ/ REE-noh) is a city in the U.S. state of Nevada, located in the northwestern part of the state, approximately 22 miles (35 km) from Lake Tahoe. Known as "The Biggest Little City in the World", Reno is known for its casino industry. It is the county seat of Washoe County. The city sits in a high desert at the foot of the Sierra Nevada and its downtown area (along with Sparks) occupies a valley informally known as the Truckee Meadows. The city is named after Union Major General Jesse L. Reno, who was killed in action at the Battle of South Mountain on Fox's Gap. Reno, with an esti...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$38,674 to $49,595
Reno, Nevada area prices
were up 2.5% from a year ago

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