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H
Institutional Reimbursement Analyst II
Horizon Connect @ Wall BCBSNJ. Resolve process inquiries initiated by hospitals and ancillary providers .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims processing and facility reimbursements within the healthcare industry, with strong analytical and organizational skills to improve processes and resolve financial discrepancies. Effective in customer service and communication, facilitating collaboration with facility employees and stakeholders.
Highest-signal resume keywords
Claims Processing ExperienceFacility ReimbursementsBlueCard ExperienceCustomer Service SkillsAnalytical Thinking
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingFacility ReimbursementsQuality Statistics ReportingProcess ImprovementAccounts Receivables Management
Soft Skills
Analytical ThinkingCritical ThinkingOrganizational SkillsWritten Communication Skills
Tools & Technologies
PC Skills
Certifications & Qualifications
High School Diploma/GED
Industry Keywords
Healthcare IndustryFinancial GapsProcess ImprovementBest PracticesCustomer Service
About the role
Key responsibilities & impact- Resolve process inquiries initiated by hospitals and ancillary providers
- May perform necessary tasks on-site
- Review and compile monthly, quarterly, and annual reports on quality statistics to provide recommendations for process improvement and best practices
- Partner with facility employees to identify and bridge financial gaps, including resolving open Accounts Receivables (ARs) and claim payment issues
- Participate in regular internal/external meetings for calibrations, trends, best practice sharing, process improvement, and streamlining claims processes
- Perform other related tasks as assigned by management
Requirements
What you’ll need- High School Diploma/GED required
- Requires a minimum of two to four (2-4) years experience in the healthcare industry
- Requires experience with facility reimbursements
- Claims processing experience required
- BlueCard experience strongly preferred
- Strong Customer Service skills
- Strong PC skills
- Analytical Thinking, Critical Thinking, Organizational Skills and strong Written Communication Skills
- Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Benefits
Comp & perks- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement