Claims Processor Analyst

Reposted 16 Days Ago
Be an Early Applicant
Overland Park, KS, USA
In-Office
Mid level
Information Technology • Consulting
The Role
Process and analyze medical and pharmacy claims, educate patients and healthcare professionals on products/services, prepare educational materials, handle plan calls to determine patient out-of-pocket costs, participate in referral/screening programs, and provide feedback to sales/medical teams. Works with limited supervision and applies specialized on-the-job skills.
Summary Generated by Built In
Company Description

Stefanini is a global IT services company with over 88 offices in 39 countries across the Americas, Europe, Africa, Australia, and Asia in 35 languages. Since 1987, Stefanini has been providing offshore, onshore, and nearshore IT services, including application development, IT infrastructure outsourcing, systems integration, consulting and strategic staffing to Fortune 1000 enterprises around the world.

Job Description

  • Educates patients, their families and health care professionals in the use of the organization's products and services.
  • Organizes and conducts classes and individual meetings to demonstrate how the organization's products and services contribute to the maintenance and improvement of health and/or the management of specific diseases and physical conditions.
  • Prepares and distributes educational and instructional material (e.g., booklets, promotional kits).
  • May expand patient pool through participation in referral and screening programs.
  • Provides information and suggestions to sales and/or medical representatives and management on the results of educational programs, including comments and questions from patients and health care professionals.
  • Has developed specialized skills or is multi-skilled through job-related training and considerable on-the-job experience.
  • Completes work with a limited degree of supervision
  • Likely to act as an informal resource for colleagues with less experience
  • Identifies key issues and patterns from partial/conflicting data
  • Post-secondary certifi./Assoc. degree in applicable discipline and 3-5 Yrs of related Exp.

Qualifications

  • Previous Medical Claims Experience
  • Strong Problem-Solving Skills
  • Previous Experience Calling Plans & figuring out patient’s out of pocket costs for both Medical & Pharmacy Plans

Additional Information

All your information will be kept confidential according to EEO guidelines.

Skills Required

  • Previous Medical Claims Experience
  • Strong problem-solving skills
  • Experience calling insurance plans and determining patient out-of-pocket costs for medical and pharmacy plans
  • Post-secondary certification or Associate degree
  • 3-5 years of related experience
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The Company
HQ: Jaguariúna
22,928 Employees

What We Do

We are a global company with 30 years of experience in the market, offering a robust selection of services such as automation, cloud, Internet of Things (IoT) and user experience (UX). Today, we provide a broad portfolio of solutions, combining innovative consulting, marketing, mobility, personalized campaigns and artificial intelligence services with traditional solutions such as service desk, field service, and outsourcing (BPO). We maintain our excellence by investing in technological innovations, the best partnerships, acquisitions of companies worldwide, and the hiring of highly trained professionals. We believe technology can revolutionize a company and innovation is essential to foster development and competitiveness. We also value new ideas and the power of an open mind, so we recognize every talent is essential to the quality of our projects and especially to our progress

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