- Healthcare Claims Functional Analyst
- Location: Baltimore (Canton), MD (100% Onsite)
- Job Type: Contract-to-Hire (6 Months)
- Pay Rate: $33/hour W2
- About the Role
- We are seeking a Healthcare Claims Functional Analyst to join a leading healthcare organization in Baltimore, MD. This is a 100% onsite Contract-to-Hire opportunity supporting the operations team responsible for healthcare claims analysis, validation, reporting, and benefits system updates.
- Key Responsibilities
- Analyze healthcare claims data from various sources, primarily Microsoft Excel.
- Validate and map claims information into the organization's benefits system.
- Research claims discrepancies and identify root causes.
- Review, analyze, and maintain claims-related reports and data.
- Perform data entry with a high level of accuracy.
- Develop and execute testing procedures to validate system updates and enhancements.
- Document testing results and operational processes.
- Create and maintain Standard Operating Procedures (SOPs).
- Provide operational support by answering questions and assisting internal users.
- Participate in process improvement initiatives to enhance operational efficiency.
- Required Qualifications
- High School Diploma or GED required; Bachelor's Degree preferred
- Minimum 2 years of healthcare insurance claims experience
- Strong understanding of healthcare claims processing and claims validation
- Excellent data entry skills with exceptional attention to detail
- Advanced Microsoft Excel skills including:
- Pivot Tables
- VLOOKUPs
- Data analysis and reporting
- Strong analytical and problem-solving abilities
- Excellent communication and organizational skills
- Preferred Qualifications
- Experience with ICD-9 and/or ICD-10 coding
- Experience with FixIT
- Experience with Adobe
- Experience with LuminX
- Previous experience as a Healthcare Claims Analyst
- Strong Claims Processors with analytical experience are encouraged to apply
- Work Schedule
- Monday – Friday
- 40 hours per week
- 8:00 AM start time (strict)
- 100% onsite in Canton, Baltimore, MD
- Additional Information
- Contract-to-Hire (6 months)
- Conversion salary: Approximately $65,900 annually
- Local candidates only (within approximately 10–15 miles of Canton, MD)
- Must be authorized to work in the U.S. (U.S. Citizen or Green Card holder)
- During the contract period, candidates must use their own Windows-based laptop (Mac devices are not permitted). A company laptop will be provided upon permanent hire.
- Interview process consists of one to two rounds (video interview followed by onsite, or direct onsite interview).
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Healthcare Claims Functional Analyst
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