Claims Analyst I - Remote

Claims Analyst I - Remote

Location : Springfield, MO. Department : Client Financial Services. Employment Type : Full-time. Shift : Monday - Friday 8 : 00 A.M. - 5 : 00 P.M.

Job Summary :

The Claims Analyst I position is responsible for creating and maintaining queries and reports in reconciling and managing certain claim sets. Position requires intermediate technical skill, strong attention to detail, and ability to validate results. Able to complete projects and tasks from beginning to completion with minimal to moderate support.

Key Responsibilities :

• Intermediate skill level with analytic tools and programming languages. Able to handle uncomplicated tasks and projects.
• Developing pre-defined reporting that is not complex and does not require significant development experience.
• Strong teamwork skills and attention to detail with the ability to complete tasks and projects effectively with moderate to minimal support.
• Strong understanding of data and analytics and the ability to turn both into useful information.
• Research, assess, and explore data for quality and accuracy.
• Prepare and maintain reports from single or multiple data sources as requested and based on business needs.
• Maintain deep knowledge of the organization's data and practice in order to give valuable recommendations, continuously sharpen skills, and have a positive impact on the organization's success.
• Analyze trends in data and communicate findings to leadership or stakeholders in a meaningful and relatable way.
• Commit to continuously improve data collection. Be sensitive to changing needs. Organize and prioritize based on current needs.
• Functions in accordance with Operational Guidelines and within his / her professional code of ethics.
• Participates in and contributes to the various staff development activities.
• Is sensitive and responsible to management needs, such as data collection, program evaluation, development of grant applications, maintenance of various contracts for services, etc.
• Participates in all required meetings.
• Regularly participates in evaluation of self and assigned staff according to Operational Guidelines.
• Performs other special functions as may, from time to time, be outlined and attached hereto.

Experience and / or Education Qualifications :

Knowledge, Skills, and Abilities :

Position Perks & Benefits :

Brightli is on a Mission :

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Employment Opportunity Employer. Burrell Behavioral Health is a Smoke and Tobacco Free Workplace.