Claims Analyst

Terms of Employment
•    W2 Contract-to-Hire, 6-Months
•    Location: 100% On-Site (Canton / Downtown Baltimore, MD)
•    Schedule: Monday - Friday, 8:00 AM – 4:30 PM (40 hours per week)
•    Equipment Requirement: Must bring your own laptop/device for the duration of the contract period
•    Interview Process: Onsite interviews

Overview
Join a leading healthcare services administration team as a Functional Analyst. In this role, you will provide critical operational support by reviewing, researching, and validating high-volume claims data. This position is ideal for an analytical professional with solid healthcare sector exposure who enjoys deep-dive data verification and thrives in a structured team environment. This contract features an active intent for permanent conversion, complete with comprehensive initial job training.

Key Responsibilities
•    Validate and research healthcare claims and appeals data to ensure absolute accuracy.
•    Generate, run, and evaluate operational reports under the guidance of department leadership.
•    Utilize advanced Excel functionalities to log data, build trackers, and review complex spreadsheets.
•    Handle various operational tasks simultaneously within a fast-paced environment.
•    Coordinate alongside team members to mitigate processing delays tied to migration groups.

Required Qualifications
•    Minimum of 2+ years of experience working as a functional analyst, claims analyst, or claims processor.
•    Strong background within the medical or healthcare industry, possessing foundational knowledge of claims management workflows.
•    Advanced knowledge of Microsoft Excel, including comfort using Pivot Tables and VLOOKUPs to analyze datasets.
•    Adobe and Fox-it knowledge/experience is mandatory
•    Minimum of 1 to 2 years of professional data entry experience.
•    Educational Requirement: A completed Bachelor’s degree is required; in the absence of a Bachelor's degree, a minimum of 4 additional years of relevant professional work experience is required (6+ years total).

Preferred Qualifications
•    Prior experience with medical billing and ICD-10 coding practices.
•    Previous exposure to industry applications such as Luminex and Oracle.
•    Demonstrated background as an adaptable self-starter who works effectively both independently and as part of a cooperative team.
•    Prior experience in the mailroom, scanning documents, etc.