What are the responsibilities and job description for the Claims Analyst position at TSG Resources, Inc.?
At SCP Health, what you do matters As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care. Why you will love working here: - Strong track record of providing excellent work/life balance. - Comprehensive benefits package and competitive compensation. - Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect. CORE VALUES In alignment with the core values of SCP-Health, this role will demonstrate the organization’s four core values: Agility, the Accounting Specialist drives the direction of the department based on ever changing internal and external trends ensuring that organizational performance objectives are achieved. Respect, the Accounting Specialist creates an environment that fosters respect for all employees to assure courtesy, professionalism, and dignity are exhibited through all interactions with t Courage, the Accounting Specialist supports policies, metrics, and work standards, to ensure our teams consistently demonstrate a willingness to do what is needed to make a difference for our team. Collaboration, the Accounting Specialist will coordinate across the department as needed to assist and ensure a “One-Team” approach. JOB DESCRIPTION: Responsibilities: Prepare weekly reports on open/closed claims, reconciliation status, and outstanding risks. Reconcile accrued liability account until all claims are resolved. Assist with auditing files before processing. Maintain documentation to support compliance requirements. Identify recurring issues and recommend process improvements. Work directly with IDREs and payors to resolve discrepancies and document outcomes. Participation in month-end closing procedures and schedule preparation. Knowledge, Skills, and Abilities: Expert in Microsoft Office and Microsoft Excel High level of accountability, accuracy, and efficiency, especially when multitasking Analytical, collaborative, and trustworthy Ethical, thorough, and attentive with excellent verbal and written communication skills Maintain quality standards while working in a high-volume, fast-paced environment Must be able to set priorities and demonstrate sound judgment in handling problems Must be extremely well organized and demonstrate great time management skills Must be a team player and work well with others Must be able to work under moderate stress and pressure while maintaining a professional attitude Must be able to communicate effectively with professionals EDUCATION (Required and/or Preferred): High school diploma or general education degree (GED) required Bachelor’s degree in Accounting, Finance, Business, or related field preferred (or equivalent experience). FIELD OF STUDY: Accounting/Finance/Business/Reimbursement WORK EXPERIENCE/QUALIFICATIONS: 2 years of experience in claims, revenue cycle, accounting, or healthcare reimbursement Strong knowledge of Excel (pivot tables, advanced formulas, reconciliations) Basic understanding of accounting principles WORK ENVIRONMENT AND PHYSICAL DEMANDS: Professional setting Continuous sitting Continuous oral & written communication and listening skills Continuous computer use Occasional bending, kneeling, lifting, pulling & pushing up to 10 pounds Job requires a high level of mental awareness PRIMARY LOCATION: SCP Corporate – Lafayette Office #LI-PM1 If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us! Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.