Data Mining Analyst

Job Description: • Conduct thorough data audits to ensure accuracy in claims processing and resolution. • Analyze large datasets to identify patterns, discrepancies, and trends related to claims performance. • Work closely with team members to share insights, collaborate on problem-solving, and contribute to discussions regarding claims audits. • Resolve claims discrepancies by determining whether claims are underpaid or overpaid, providing clear documentation of findings. • Maintain high standards of accuracy and efficiency while following established leadership guidelines. • Prepare and present audit findings and recommendations to leadership in a clear and concise manner. Requirements: • High school diploma is required; additional education in a relevant field is a plus. • Minimum of 3 years of experience in a healthcare environment, with a focus on claims processing or auditing preferred. • Familiarity with claims auditing in the data mining space is a significant advantage. • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) is essential; advanced Excel skills are highly desirable. • Strong analytical skills with the ability to work independently while managing multiple tasks. • Excellent communication skills, both verbal and written, with the ability to articulate findings clearly and effectively. • A team player who is open to sharing ideas, opinions, and feedback in a collaborative work environment. Benefits: Apply tot his job Apply To this Job