Senior Hospital Claims Strategist — Remote; DRG/Stop-Loss
Philadelphia, Philadelphia County, Pennsylvania, 19117, USA
Listed on 2026-10-01
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Insurance
Smart Light Analytics Inc. is seeking an experienced Senior Claims Analyst to audit hospital claims, validate DRG assignments, and identify over payments across ASO client engagements. This remote role emphasizes analytical rigor and client-facing communication.
You will review UB-04 forms, apply CMS guidelines, coordinate with stop-loss carriers, and negotiate adjustments with TPAs to protect client financial exposure. Strong coding, Excel/SQL, and negotiation skills are essential.
This role, Senior Hospital Claims Strategist — Remote (DRG/Stop-Loss) at Smart Light Analytics Inc., could be your next career step.
The Senior Hospital Claims Strategist — Remote (DRG/Stop-Loss) position in the Finance, Management & Operations field is open for applications.
We have an opening for a Senior Hospital Claims Strategist — Remote (DRG/Stop-Loss) in United States within Finance, Management & Operations.
This role, Senior Hospital Claims Strategist — Remote (DRG/Stop-Loss) at Smart Light Analytics Inc., could be your next move.
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