Claims Technical Analyst
@ TEKsystems

Hybrid
$46,000
Hybrid
Full Time
Posted 22 days ago

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XXXXXXXXXX XXXXXXXXXXX XXXXXX******* @teksystems.com
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Job Details

Job Overview

The Claims Technical Analyst at TEKsystems is responsible for pulling reporting, reviewing rejected claims, and assisting in the reprocessing efforts. This role acts as an intermediary between specialist and analyst, providing support to those performing full analyst duties. Over time, there is potential to transition more into a full analyst role.

Key Responsibilities

  • Pull and analyze claims reporting data
  • Review and research rejected claims
  • Assist in reprocessing work as needed
  • Support the analyst team in daily tasks
  • Progress from claims processing to QA and research

Skills and Qualifications

Required technical skills include Claims Analyst, CapRX, RxClaims, PBM, research, reprocessing, and medical terminology. A minimum of 2+ years with health insurance or PBM claims is preferred, with a high school diploma/GED required and an Associate or Bachelor degree preferred.

Compensation and Benefits

Pay range is $23.00 - $24.00/hr. Available benefits (if eligible) include:

  • Medical, Dental & Vision
  • Critical Illness, Accident, and Hospital coverage
  • 401(k) Retirement Plan options
  • Life and Disability Insurance
  • Health Spending Account and Transportation benefits
  • PTO, Vacation, and Sick Leave

About TEKsystems

TEKsystems is a leader in business and technology services supporting transformation for over 6,000 clients globally. They provide full-stack technology, talent services, and business solutions. TEKsystems is an Allegis Group company and an equal opportunity employer.

Key skills/competency

Claims Analyst, CapRX, RxClaims, PBM, Research, Reprocessing, Medical Terminology, Reporting, QA, Data Analysis

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How to Get Hired at TEKsystems

🎯 Tips for Getting Hired

  • Research TEKsystems culture: Check their mission and recent news.
  • Customize resume: Tailor to claims analysis and reprocessing.
  • Highlight relevant skills: Emphasize CapRX, PBM, and research experience.
  • Prepare for interviews: Review technical and situational claims questions.

📝 Interview Preparation Advice

Technical Preparation

Review claims processing software basics.
Practice data extraction and report generation.
Study reprocessing and QA procedures.
Brush up on medical billing terminology.

Behavioral Questions

Describe handling a claims rejection.
Explain teamwork in high-pressure situations.
Discuss prioritizing tasks in challenging scenarios.
Share experiences resolving process issues.

Frequently Asked Questions