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← OneImaging

Lead Claims Analyst

OneImaging
Location
Remote
Posted
11 days ago
Department
Finance
Salary
$60,000 - $80,000
What they actually want (must-haves)
  • 4+ years in healthcare claims, revenue cycle, or medical billing
  • Deep hands-on experience with EDI transactions (837/835) and a clearinghouse platform (Waystar preferred)
  • Strong command of CPT/HCPCS, ICD-10, place-of-service, and modifier logic
  • Working knowledge of benefit structures, cost-sharing, deductibles, and accumulator/HDHP mechanics
  • Advanced spreadsheet skills and comfort building reporting from raw claims data
  • Meticulous, audit-minded approach to tracing financial discrepancies
Nice to have
  • Experience at a TPA, benefits administrator, or payer, especially serving self-funded employers
  • Familiarity with prior authorization workflows and tools (e.g., Infinx)
  • Exposure to appeals, payer escalations, and underpayment recovery at scale
  • Experience in early-stage or high-growth environments
What the job really is

As a Lead Claims Analyst at OneImaging, you will manage the integrity of claims and adjudication workflows, focusing on complex claims and denials. Your responsibilities include reviewing and validating imaging claims, investigating denial causes, managing EDI workflows, and ensuring accurate billing. You will also develop reporting dashboards and document standard operating procedures while collaborating with various teams to streamline processes.

Benefits
  • Salary range of $60,000 - $80,000
  • Bonus eligibility
  • Participation in equity incentive and competitive benefits plans
Things to weigh
  • No specific mention of remote work policies beyond the job being remote
  • The role requires a hands-on approach, which may involve a high workload
  • The salary range may be lower than industry standards for similar roles
Job score4.2/5
Benefits2/5
Freshness5/5
Career value4/5
Role clarity5/5
Pay transparency5/5

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