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Medical Claims Analyst
at Aon in Pennsylvania
Aon is a global leader in risk management, insurance and reinsurance brokerage, human capital and management consulting, and outsourcing with more than 37,000 employees in 600 offices. We integrate customized services, leverage expertise across industries and apply business knowledge to our clients' strategic goals.
Aon helps clients anticipate how change intersects with opportunity. Each of our clients has unique business needs, so we have developed expertise for a complete range of business processes, products and industries. Aon’s account and relationship managers form a comprehensive perspective of our clients’ organizations, matching our expertise to their business strategy.
We have an exciting opportunity for a Reinsurance Claims Analyst in our Pittsburgh Office.
Description of duties & responsibilities:
1)Provide Claim support to ARS Managed Care Clients:
a.Assist Clients with Claim submissions
b.Act as advocate to the client in the claim submission process
c.Retain high level of security within Government guidelines in the claim submission and review process
d.Perform the pre adjudication of claims as required by the client
e.Review reinsurance recovery for accuracy and to coordinate release recovery to the client
f. Develop receivable targets for clients as necessary.
2)Perform Claim Analysis for the benefit of the practice and clients
a.Create benchmark information for client comparison
b.Create reports for clients to include in data exchange meetings
3)Assist with Managed Care department requests as necessary in order to meet client demands
Special skills required:
1)Understanding of Claim Coding, UB and HCFA forms and electronic filing requirements
2)Necessary and competent communication skills via e-mail and telephone to work with clients and reinsurers
3)Internet acumen to perform research on national Medicare, Medicaid and commercially offered managed care plans
Additional Requirements:
1)The ability to work within the Managed Care group in the Pittsburgh Office
2)The ability to work in the Pittsburgh location
3)The aptitude to adhere to Aon’s mission, vision and values along with following the Aon HR employee policies and guidelines.
4)The incumbent will possess good communication skills (written and verbal) when dealing with clients
5)The incumbent will be able to work in a team environment.
6)Excellent IT skills including excel, word and relational data bases are required.
Minimum work experience required:
3-5 years experience in claim processing of first dollar medical claims
2-3 years experience of claim processing in a managed care or stop loss environment
Education:
High School Diploma, preferred post HS education/training in Claim Processing, Health Insurance, and understanding managed care.
Aon offers:
Competitive Compensation, Exceptional Benefits, Continuing Education & Training, A Unique Internal Advancement Program, and Tremendous Potential with A Growing Worldwide Organization.
For more information about Aon Corporation, visit our website at www.aon.com.
Aon is an equal opportunity employer committed to a diverse workforce. M/F/D/V
DISCLAIMER:
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://aon.contacthr.com/15764793
Aon helps clients anticipate how change intersects with opportunity. Each of our clients has unique business needs, so we have developed expertise for a complete range of business processes, products and industries. Aon’s account and relationship managers form a comprehensive perspective of our clients’ organizations, matching our expertise to their business strategy.
We have an exciting opportunity for a Reinsurance Claims Analyst in our Pittsburgh Office.
Description of duties & responsibilities:
1)Provide Claim support to ARS Managed Care Clients:
a.Assist Clients with Claim submissions
b.Act as advocate to the client in the claim submission process
c.Retain high level of security within Government guidelines in the claim submission and review process
d.Perform the pre adjudication of claims as required by the client
e.Review reinsurance recovery for accuracy and to coordinate release recovery to the client
f. Develop receivable targets for clients as necessary.
2)Perform Claim Analysis for the benefit of the practice and clients
a.Create benchmark information for client comparison
b.Create reports for clients to include in data exchange meetings
3)Assist with Managed Care department requests as necessary in order to meet client demands
Special skills required:
1)Understanding of Claim Coding, UB and HCFA forms and electronic filing requirements
2)Necessary and competent communication skills via e-mail and telephone to work with clients and reinsurers
3)Internet acumen to perform research on national Medicare, Medicaid and commercially offered managed care plans
Additional Requirements:
1)The ability to work within the Managed Care group in the Pittsburgh Office
2)The ability to work in the Pittsburgh location
3)The aptitude to adhere to Aon’s mission, vision and values along with following the Aon HR employee policies and guidelines.
4)The incumbent will possess good communication skills (written and verbal) when dealing with clients
5)The incumbent will be able to work in a team environment.
6)Excellent IT skills including excel, word and relational data bases are required.
Minimum work experience required:
3-5 years experience in claim processing of first dollar medical claims
2-3 years experience of claim processing in a managed care or stop loss environment
Education:
High School Diploma, preferred post HS education/training in Claim Processing, Health Insurance, and understanding managed care.
Aon offers:
Competitive Compensation, Exceptional Benefits, Continuing Education & Training, A Unique Internal Advancement Program, and Tremendous Potential with A Growing Worldwide Organization.
For more information about Aon Corporation, visit our website at www.aon.com.
Aon is an equal opportunity employer committed to a diverse workforce. M/F/D/V
DISCLAIMER:
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://aon.contacthr.com/15764793
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Published on Apr 20, 2010
Viewed: 347 times
Viewed: 347 times
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