Claims Reporting Coordinator

(Hybrid, Sherman Oaks)

Summary

The reporting coordinator is responsible for ensuring accurate, timely, and efficient reporting and input of data related to all claim functions. Reporting to the Claims Analyst, the primary functions of this position are to manage scheduled and ad hoc reporting needs. The position will play a significant role in supporting the department’s strategic goals.

Duties and Responsibilities

· Prepares universe reports for health plan audits, Monthly Timeliness Reports, Medicare reporting and other Health Plan or regulatory requests

· Ensures and manages the execution of regular, new, and ad hoc reporting for Claims Operation

· Assists with preparation of Claims Committee meetings

· Attends health plan audits and data validations, and reports findings back to claims team

· Identifies existing inefficiencies and problems within data sets/reports and takes action to remediate

· Works closely with IT to communicate reporting needs and specifications in order to ensure efficient report development and execution

· Validate reports prior to submission

· Provides input on and supports the standardization of business rules and methods for analysis and reporting

· Supports staff trainings to improve accuracy of data and enhance quality of reports delivered by other departments

Minimum Job Requirements

· High School Diploma

· BA preferred but not required

· Experience in a reporting/analytic function in a healthcare environment

· Must have sufficient familiarity with the technical knowledge necessary to adequately perform the duties described above

· Intermediate Microsoft Excel skills

· Knowledge of Tableau; SQL preferred but not required

Skills and Abilities

· Ability to maintain multiple priorities and deadlines, with strong follow through

· Highly motivated with strong attention to detail

· Ability to work independently and take direction

· Communicates effectively and works well in a team