Job Description:

Job Title: Claims Analyst I - Remote
Location: Springfield, MO
Department: Client Financial & Benefit Advocacy Services
Employment Type: Full-time
Shift: Days

Job Summary:

The incumbent has thorough knowledge of insurance billing processes in relation to substance use disorder and Behavioral Health claims. They analyze trends in data and report findings in a meaningful way to leadership.

The Claims Analyst I - Remote position offers…

All-Inclusive Employee Benefits Package - A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, and moreTelemedicine – 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visitsEmployee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no costPaid Time Off - 29 days per year including vacation & holiday payWorkplace Culture- An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement

Key Responsibilities:

Insurance Billing & Claim Analysis:Knowledge of insurance billing processes.Strong understanding of claim data and analytics.Research and assess claim data for quality and accuracy.Prepare and maintain reports from various data sources.Analyze trends in data and communicate findings to leadership.

Teamwork & Attention to Detail:Strong teamwork skills.Ability to complete tasks and projects effectively with minimal support.Sensitive to changing needs.Organize and prioritize based on current needs.

Data Management:Maintain knowledge of the organization’s claim data and billing practices.Commit to continuously improving data collection.

Professionalism & Ethics:Function according to Operational Guidelines and professional code of ethics.Participate in team member development activities.Be sensitive and responsive to management needs.Engage in program evaluation, grant applications, and contract maintenance.Participate in required meetings and self-evaluation.

Knowledge, Skills, and Abilities:

Independent Work & Problem-Solving:Perform tasks independently or with minimal support.Experience in solving basic to complex issues.

Technical Skills:Proficient in technical writing (queries, reports, visualizations).Moderate understanding of claim data and analytics.Identify data patterns and inconsistencies.Proficient in Microsoft Suite products.Power user in Excel.Experience with SQL, Tableau, Crystal, or similar business analytics programs preferred.

Communication & Presentation:Excellent communication skills.Clear and direct communication about technical subjects.Effective presentation skills.Communicate effectively with a wide range of stakeholders.

Basic Math & Documentation:Read and interpret safety rules, operating instructions, and procedure manuals.Perform basic arithmetic operations (add, subtract, multiply, divide).

Instruction & Problem-Solving:Follow written, oral, or diagram instructions.Address problems with several concrete variables in standardized situations.

Experience and/or Education Qualifications:

Two years applicable experience required.Bachelor’s Degree in related field preferred.





Position Perks & Benefits:

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more

Top-notch training: initial, ongoing, comprehensive, and supportive

Career mobility: advancement opportunities/promoting from within

Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness.





Brightli is on a Mission:

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Opportunity and Affirmative Action Employer, and encourage applications from all qualified individuals without regard to race, color, religion, sex, gender identity, gender expressions, sexual orientation, national origin, age, marital status, disability or veteran status, or to other non-work related factors.

Burrell Behavioral Health is a Smoke and Tobacco Free Workplace.