Withum

Analyst

• Perform audits and quality assurance processes related to claims processing.
• Prepare working papers, which record and summarize data in accordance with professional standards.
• Organize and maintain audit support files, workpapers, and other relevant documentation.
• Analyze healthcare claims data to identify patterns and anomalies.
• Prepare detailed reports and dashboards for internal and client use.
• Collaborate with cross-functional teams to implement data-driven solutions.
• Ensure compliance with healthcare regulations and data privacy standards.
• Works as an active team member during scheduled engagements and works collaboratively to achieve the goals of the team.
• Provides feedback to the team lead on any issues identified during research or claims review.
• Minimal travel may be required based on client needs.

Health Care Claims Analyst

Consultant

• Preparing and reviewing warranty parts and labor rate calculations
• Preparing (including coding) warranty labor time guide submissions
• Comparing the excel data to PDF copies of repair orders
• Identifying missing repair orders within the sequence
• Ensuring overall compliance with applicable state statute and manufacturer requirements
• Working collaboratively with the team’s staff, senior manager and partner
• Managing 10+ team members while reporting to the partner and senior manager on the team.

Withum

Health Care Claims Analyst

Warranty Reimbursement Lead Consultant

Health Care Claims Analyst, Entry Level