Medical Claims Analyst

3 weeks ago


Montgomery, United States Career Personnel Full time
Job DescriptionJob Description

Position Summary:

Claims Analyst is responsible for timely follow up and resolution of accounts with Health

Insurance companies and other third-party payers, insurance payer correspondence and appeals.

Responsibilities:

  • Insurance follow-up on outstanding accounts
  • Identifies patient liability
  • Perform correspondence, including denials, appeals and updates
  • Insurance re-bill requests or update accounts
  • Evaluate accounts for payment opportunities based on timely filing and other criteria
  • Contact payer and management on how to proceed on accounts that need to be addressed
  • Maintain accurate documentation and reports following established process and procedures and client specific guidelines

Requirements:

  • Basic computer skills
  • Microsoft Word and Excel
  • Familiar with major medical insurance carriers
  • Medical terminology
  • Some knowledge of HCPC, CPT & ICD9 codes
  • Previous experience in health care billing environment
  • Able to pass a credit check



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