Claims Analyst

About the role

XO Health believes healthcare is fixable. Become a part of the community changing the face of the industry. XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone-from those who received care, to those who deliver it, to those who pay for it.

What you'll do

• Claims Processing, Adjudication & Resolution
• Process, research, and adjudicate institutional and professional medical claims (including behavioral health), ensuring accuracy, timeliness, and compliance
• Verify eligibility, coverage, and medical necessity under policy guidelines using established systems and workflows
• Investigate and resolve claim denials, appeals, discrepancies, overpayments, and billing errors and payment issues
• Conduct overpayment reviews, coordinate recovery actions, and correct claim financial histories as required

What you need

• Claims processing
• Customer service
• Reporting
• Compliance

Good to have

• CRM
• ServiceNow