Claims Analyst I - Remote

Job Description:

Job Title: Claims Analyst I - Remote
Location: Springfield, MO
Department: Client Financial & Benefit Advocacy Services
Employment Type: Full-time
Shift: Days

Job Summary:

The incumbent has thorough knowledge of insurance billing processes in relation to substance use disorder and Behavioral Health claims. They analyze trends in data and report findings in a meaningful way to leadership.

The Claims Analyst I - Remote position offers…

• All-Inclusive Employee Benefits Package - A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, and more
• Telemedicine – 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits
• Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
• Paid Time Off - 29 days per year including vacation & holiday pay
• Workplace Culture- An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement

Key Responsibilities:

• Insurance Billing & Claim Analysis:
• Knowledge of insurance billing processes.
• Strong understanding of claim data and analytics.
• Research and assess claim data for quality and accuracy.
• Prepare and maintain reports from various data sources.
• Analyze trends in data and communicate findings to leadership.

• Teamwork & Attention to Detail:
• Strong teamwork skills.
• Ability to complete tasks and projects effectively with minimal support.
• Sensitive to changing needs.
• Organize and prioritize based on current needs.

• Data Management:
• Maintain knowledge of the organization’s claim data and billing practices.
• Commit to continuously improving data collection.

• Professionalism & Ethics:
• Function according to Operational Guidelines and professional code of ethics.
• Participate in team member development activities.
• Be sensitive and responsive to management needs.
• Engage in program evaluation, grant applications, and contract maintenance.
• Participate in required meetings and self-evaluation.

Knowledge, Skills, and Abilities:

• Independent Work & Problem-Solving:
• Perform tasks independently or with minimal support.
• Experience in solving basic to complex issues.

• Technical Skills:
• Proficient in technical writing (queries, reports, visualizations).
• Moderate understanding of claim data and analytics.
• Identify data patterns and inconsistencies.
• Proficient in Microsoft Suite products.
• Power user in Excel.
• Experience with SQL, Tableau, Crystal, or similar business analytics programs preferred.

• Communication & Presentation:
• Excellent communication skills.
• Clear and direct communication about technical subjects.
• Effective presentation skills.
• Communicate effectively with a wide range of stakeholders.

• Basic Math & Documentation:
• Read and interpret safety rules, operating instructions, and procedure manuals.
• Perform basic arithmetic operations (add, subtract, multiply, divide).

• Instruction & Problem-Solving:
• Follow written, oral, or diagram instructions.
• Address problems with several concrete variables in standardized situations.

Experience and/or Education Qualifications:

• Two years applicable experience required.
• Bachelor’s Degree in related field preferred.

We are an Equal Opportunity and Affirmative Action Employer, and encourage applications from all qualified individuals without regard to race, color, religion, sex, gender identity, gender expression, sexual orientation, national origin, age, marital status, disability or veteran status, or to other non-work related factors.

Burrell is a Smoke and Tobacco Free Workplace.