Complex Claims Analyst

2 weeks ago

Lexington, United States PROMEDICAL, LLC Full time
Job DescriptionJob Description

Complex Claims Analyst

Healthcare Billing


PROMEDICAL is seeking a Complex Claims Analyst. This position is responsible for the initial billing and follow-up of unpaid or denied workers compensation & motor vehicle medical claims.

Analyst will ensure that claims are being billed correctly and that insurance carriers have the necessary information to adjudicate. A healthcare revenue cycle background in medical billing or insurance claim processing is a must and a candidate should be comfortable on the phone speaking to carriers, attorneys, patients and employers.

Analysts utilize on-line tools, system strategies, as well as actively communicate over the phone or via email.

This role requires a high level of attention to detail, strong organizational skills, and comfort with multitasking.

The successful candidate must respect confidentiality, and have strong computer skills. Must enjoy working in a team environment, be goal driven and possess the ability to meet deadlines and determine priorities.

Job Responsibilities of Claims Follow up Analyst:

  • Provide a working knowledge in the area of Workers Compensation and Automobile Accident claims for states in which PROMEDICAL has clients
  • Ensure claims are being liquidated in a timely manner and at the appropriate level or reimbursement
  • Review and collect incoming documentation
  • Troubleshoot specific accounts as needed
  • Consistently change strategies within the database system
  • Research claim information on-line and enter new data into existing claim system as information is received with goals of accuracy
  • Respond to all inquiries from "customers" (defined as: patients, employers, attorneys, insurance companies, etc.) with goals of timeliness
  • Make outgoing calls to customers on new claims as appropriate in order to keep the claims moving along a path toward ultimate payment
  • Handle inbound phone calls from customers, consisting of hospitals and physician groups
  • Converse with the variety of customers in the utmost professional manner, even in tense situations. Handle customer questions and complaints politely and efficiently
  • Ensure PROMEDICAL is responding to similar information in an accurate and consistent manner
  • Assist with special projects as needed

Qualifications include:

  • High school diploma or equivalent and experience in an office environment
  • Provide expertise in the area of Workers Compensation and Automobile Accident claims
  • High attention to detail and accuracy
  • Anticipate and solve problems to resolve issues
  • Prioritize tasks, exercise sound judgment and confidentiality in maintaining sensitive information
  • Learn new programs quickly, and demonstrate skills in the use of computers
  • Sharp analytical skills
  • Competent to work on multiple priorities and work under pressure
  • Excellent communication and interpersonal skills in both orally and in written form

Physical requirements

  • This job has minimal physical demands.

Direct reports

  • n/a

Compensation & Location

  • This is a temp to perm position offering a competitive hourly rate and a chance to join our team permanently
  • This is a hybrid position with some days requiring working in our Lexington, MA office

Equal Opportunity Employer

  • PROMEDICAL is proud to be an Equal Opportunity Employer.
  • Applicants for all job openings are welcome and will be considered without regard to race, gender, age, national origin, color, religion, disability, military status, sexual orientation, or any other basis protected by applicable federal, state, or local laws.

  • Complex Claims Analyst

    1 week ago

    Lexington, United States CareerBuilder Full time

    Complex Claims Analyst Healthcare Billing PROMEDICAL is seeking a Complex Claims Analyst. This position is responsible for the initial billing and follow-up of unpaid or denied workers compensation & motor vehicle medical claims. Analyst will ensure that claims are being billed correctly and that insurance carriers have the necessary information to...

  • Complex Claims Analyst

    2 weeks ago

    Lexington, United States PROMEDICAL, LLC Full time

    Complex Claims Analyst Healthcare Billing PROMEDICAL is seeking a Complex Claims Analyst. This position is responsible for the initial billing and follow-up of unpaid or denied workers compensation & motor vehicle medical claims. Analyst will ensure that claims are being billed correctly and that insurance carriers have the necessary information to...

  • Complex Claims Analyst

    1 week ago

    Lexington, United States PROMEDICAL Full time

    Complex Claims Analyst Healthcare BillingPROMEDICAL is seeking a Complex Claims Analyst. This position is responsible for the initial billing and follow-up of unpaid or denied workers compensation & motor vehicle medical claims. Analyst will ensure that claims are being billed correctly and that insurance carriers have the necessary information to...

  • Complex Claims Analyst

    2 days ago

    Lexington, United States PROMEDICAL Full time

    Complex Claims AnalystHealthcare Billing PROMEDICAL is seeking a Complex Claims Analyst. This position is responsible for the initial billing and follow-up of unpaid or denied workers compensation & motor vehicle medical claims. Analyst will ensure that claims are being billed correctly and that insurance carriers have the necessary information to...

  • FMS Logistics Analyst

    5 days ago

    Lexington Park, United States Booz Allen Hamilton Full time

    As a logistics management specialist, you know the complexities of supporting a project from concept to completion. Many programs require a significant investment of limited resources, and its imperative to keep the project on a productive path. Tha Logistics Analyst, Logistics, Analyst, Support, Project Management, Technology, Transportation, Program

  • Risk Management Analyst with Security Clearance

    Found in: Dice One Red US C2 - 2 weeks ago

    Lexington Park, United States Fusion 2 Inc Full time

    Operations & Risk ManagementLCAT: Sr. Program Analyst POSITION RESPONSIBILITIES AND DUTIES: The Risk Manager provides Risk, Issue, and Opportunity management for a major Department of Defense Weapons Accelerated Acquisition Program. This category does not require a technical degree, but does require working with engineers and the ability to understand...

  • Employee Relations Specialist

    Found in: Appcast US C2 - 2 weeks ago

    Lexington, United States Medical Services of America Full time

    Medical Services of America currently seeks an experienced Employee Relations Specialist to join our team at the MSA Corporate Office in Lexington, SC.ESSENTIAL DUTIES:Provides guidance and consults on a broad range of Employee Relations issues including: HR policy and procedures, interpretation and/or application of policy; employee concerns and issue...

  • Employee Relations Specialist

    7 days ago

    Lexington, United States Medical Services of America Full time

    Medical Services of America currently seeks an experienced Employee Relations Specialist to join our team at the MSA Corporate Office in Lexington, SC. ESSENTIAL DUTIES: Provides guidance and consults on a broad range of Employee Relations issues including: HR policy and procedures, interpretation and/or application of policy; employee concerns and issue...

  • Employee Relations Specialist

    2 weeks ago

    Lexington, United States Medical Services of America Full time

    Medical Services of America currently seeks an experienced Employee Relations Specialist to join our team at the MSA Corporate Office in Lexington, SC.ESSENTIAL DUTIES:Provides guidance and consults on a broad range of Employee Relations issues including: HR policy and procedures, interpretation and/or application of policy; employee concerns and issue...

  • Employee Relations Specialist

    Found in: Appcast Linkedin GBL C2 - 3 weeks ago

    Lexington, United States Medical Services of America Full time

    Medical Services of America currently seeks an experienced Employee Relations Specialist to join our team at the MSA Corporate Office in Lexington, SC.ESSENTIAL DUTIES:Provides guidance and consults on a broad range of Employee Relations issues including: HR policy and procedures, interpretation and/or application of policy; employee concerns and issue...

  • Commercial Lines Account Manager

    Found in: Appcast Linkedin GBL C2 - 3 weeks ago

    Lexington, United States McGriff Full time

    JOB DESCRIPTION SUMMARYPrimarily responsible for independently marketing smaller and/or less complex accounts. Exercise independent decisions relating to client analysis of coverage, recommending coverage needs, and suggesting new lines of coverage for existing clients. Be viewed as a leader and resource by colleagues and peers who provides exceptional...

  • Senior Acquisition Lead

    Found in: beBee S US - 3 weeks ago

    Lexington Park, United States Air Combat Effectiveness Consulting Group, LLC Full time

    Description  ACE Group builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our clients, here and...

  • Senior Acquisition Lead

    Found in: beBee jobs US - 2 weeks ago

    Lexington Park, United States Air Combat Effectiveness Consulting Group, LLC Full time

    Description ACE Group builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our clients, here and abroad, to...

  • Technical Specialist

    1 week ago

    Lexington, United States NV5 Full time

    Overview: The Technical Specialist works to support the Lidar or Ortho Team on various tasking. This individual provides oversight to technicians and other analysts in support of the team leadership. This position will work individually and as part of a team to support Lidar data production; producing finalized data deliverables based on client requests. The...

  • Senior Warfare Integration Analyst

    Found in: beBee jobs US - 2 weeks ago

    Lexington Park, United States Air Combat Effectiveness Consulting Group, LLC Full time

    DescriptionThe qualified applicant will support a NAVAIR Program Office based at Naval Air Station Patuxent River, Maryland. This candidate will require an understanding of strategic guidance, operational scenarios, and warfighting concepts to support the PMA in platform development and integration. The applicant must have a technical depth and breadth of...

  • Project Coordinator

    Found in: Dice One Red US C2 - 2 days ago

    Lexington Park, United States MIL Corporation Full time

    Summary The MIL Corporation is seeking a Project Coordinator (Technical Program Analysis, Junior Analyst) to support the Department of Defense (DoD) National Cyber Range Complex (NCRC). This facility supports the mission to provide realistic cybersecurity environments for test and evaluation of major DoD acquisition programs and to enable the conduct of...

  • Software Project Solution Architect

    Found in: Jooble US O C2 - 3 weeks ago

    Lexington, KY, United States Lexmark International, Inc. Full time

    Founded in 1991 and headquartered in Lexington, Kentucky, Lexmark is recognized as a global leader in print hardware, service, software solutions and security by many of the technology industry’s leading market analyst firms. Lexmark creates cloud-enabled imaging and IoT solutions that help customers in more than 170 countries worldwide quickly realize...

  • Senior Warfare Integration Analyst

    Found in: beBee S US - 3 weeks ago

    Lexington Park, United States Air Combat Effectiveness Consulting Group, LLC Full time

    Description The qualified applicant will support a NAVAIR Program Office based at Naval Air Station Patuxent River, Maryland. This candidate will require an understanding of strategic guidance, operational scenarios, and warfighting concepts to support the PMA in platform development and integration. The applicant must have a technical depth and breadth...

  • Microsoft Office Analyst

    2 weeks ago

    Lexington Park, United States CRL Technologies Full time

    Security Clearance Required: A final DoD Top Secret clearance This position does not provide a telework option. Candidate must be willing to work on-site in Patuxent River, MD. CRL provides a signing bonus and potential relocation assistance for this position. Primary Responsibilities: Provide support for program management execution of an advanced...

  • Mid Level Program Analyst

    3 days ago

    Lexington Park, United States Crl Technologies Full time

    Security Clearance Required: A final DoD Top Secret clearance Below, you will find a complete breakdown of everything required of potential candidates, as well as how to apply Good luck.This position does not provide a telework option. Candidate must be willing to work on-site in Patuxent River, MD.CRL provides a signing bonus and potential relocation...