Medical Claims Analyst
5 days ago
Paysign Inc is seeking a skilled Medical Claims Analyst to join our team. As a Medical Claims Analyst, you will play a critical role in ensuring the smooth and accurate processing of medical copay claims.
The ideal candidate will have excellent analytical and problem-solving skills, with the ability to work independently and as part of a team in a fast-paced environment. You will be responsible for reviewing and validating medical copay claims for completeness and accuracy, ensuring all required documentation is included and meets client and regulatory standards.
This is an exciting opportunity to work with a leading healthcare company and contribute to the development of best practices in medical claims processing. If you are a detail-oriented and organized individual with a passion for healthcare, we encourage you to apply for this challenging and rewarding role.
Key Responsibilities:
- Review and validate medical copay claims for completeness and accuracy.
- Ensure all required documentation is included and meets client and regulatory standards.
- Accurately input claim data into the billing system or electronic health records platform.
- Navigate and utilize various software applications to process claims efficiently.
- Apply knowledge of medical coding to ensure accurate benefit is provided.
- Investigate and resolve discrepancies or issues related to claims, including coding errors, eligibility concerns, rejections, and business rules disputes.
- Identify opportunities for process improvement and contribute to the development of best practices.
Requirements:
- Excellent written and oral skills.
- Computer literacy and keyboard typing skills.
- Proficiency in Microsoft Office Suites.
- Ability to work independently and as part of a team in a fast-paced environment.
- Problem-solving skills and the ability to handle challenging situations with professionalism and empathy.
- Bilingual preferred – English/Spanish.
Salary Range:$60,000 - $80,000 per year.
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