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Data Mining Analyst
Location
United States
Posted
128 days ago
Salary
$75K / year
Seniority
Senior
Job Description
Data Mining Analyst
MedReview
• Conduct thorough data audits to ensure accuracy in claims processing and resolution. • Analyze large datasets to identify patterns, discrepancies, and trends related to claims performance. • Work closely with team members to share insights, collaborate on problem-solving, and contribute to discussions regarding claims audits. • Resolve claims discrepancies by determining whether claims are underpaid or overpaid, providing clear documentation of findings. • Maintain high standards of accuracy and efficiency while following established leadership guidelines. • Prepare and present audit findings and recommendations to leadership in a clear and concise manner.
Job Requirements
- High school diploma is required; additional education in a relevant field is a plus.
- Minimum of 3 years of experience in a healthcare environment, with a focus on claims processing or auditing preferred.
- Familiarity with claims auditing in the data mining space is a significant advantage.
- Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) is essential; advanced Excel skills are highly desirable.
- Strong analytical skills with the ability to work independently while managing multiple tasks.
- Excellent communication skills, both verbal and written, with the ability to articulate findings clearly and effectively.
- A team player who is open to sharing ideas, opinions, and feedback in a collaborative work environment.
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