The Health Alliance

Analyst

• Act as the final quality gate before claims are submitted, ensuring accuracy
• Review lab orders and patient records for missing/conflicting data
• Validate CPT and diagnosis alignment for payer requirements
• Proactively resolve coverage and data issues before claims are generated
• Verify insurance eligibility using transactions, portals, and tools
• Analyze claims, and resolve pre-submission rejections
• Use TELCOR to review claims, troubleshoot data issues
• Collaborate with teams to improve claim quality and operational efficiency
• Utilize SQL for data analysis and reporting

Senior Reimbursement Analyst – Laboratory Billing