Job Details

A company is looking for a Blue Claim Routing Analyst, Delivery.Key ResponsibilitiesReview hospital claims data to identify potential Blue Cross Blue Shield routing opportunitiesValidate eligibility of claims for routing based on payer rules and service locationsEvaluate potential financial impact and prioritize opportunities based on likelihood of successRequired QualificationsBachelor's degree in Healthcare Administration, Finance, Business, or a related field preferred1+ years of experience in healthcare revenue cycle operations, claims analysis, or payer reimbursement preferredFamiliarity with Blue Cross Blue Shield plans or multi-payer claim environments is highly desirableStrong analytical skills with the ability to review large claim datasets