RRT Analyst

Allied Benefit Systems • Chicago, IL

4d • $48,000 - $50,000 • Remote

About The Position

The RRT (Rapid Response Team) Analyst will be responsible for the handling of adjustments received from various departments timely. Examine claim calculations for adjustment and claimant’s history to determine accuracy.

Requirements

• High School diploma or equivalent required
• Minimum of 3 years medical claims processing experience required.
• Experience with the QicLink claims processing system preferred.
• Applicant should be proficient in the use of the Excel and Word programs, have experience with or ability to learn Microsoft Access.
• Ability to communicate effectively both orally and by email.

Nice To Haves

• Experience with the QicLink claims processing system preferred.

Responsibilities

• Handling of repricing adjustments.
• Group exception referrals.
• Work with other claim department personnel when necessary to determine appropriateness of RRT referral.
• RX refunds and analysis.
• Tracking and handling of projects.
• Accumulator updates.
• Recalculation of claims due to accumulator updates.
• Other duties as assigned.

Benefits

• Medical, Dental, Vision, Life & Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED