Medical Claims Analyst
3 weeks ago
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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