This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The RRT (Rapid Response Team) Analyst will be responsible for the handling of adjustments received from various departments timely. Examine claim calculations for adjustment and claimant’s history to determine accuracy.

• Handling of repricing adjustments
• Group exception referrals
• Work with other claim department personnel when necessary to determine appropriateness of RRT referral
• RX refunds and analysis
• Tracking and handling of projects
• Accumulator updates
• Recalculation of claims due to accumulator updates
• Other duties as assigned

Qualifications

• High School diploma or equivalent required
• Minimum of 3 years medical claims processing experience required
• Experience with the QicLink claims processing system preferred
• Proficient in the use of Excel and Word programs
• Experience with or ability to learn Microsoft Access
• Ability to communicate effectively both orally and by email

Requirements

• Job Knowledge
• Time Management
• Accountability
• Communication
• Initiative
• Customer Focus

Physical Demands

This is a standard desk role – long periods of sitting and working on a computer are required.

Work Environment

Remote

Benefits

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to:

• Medical, Dental, Vision, Life & Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend