Claims Analyst

Job Description:The Claims Analyst – Professional Billing (PB) is responsible for analyzing, auditing, and resolving claims related to professional (physician and ancillary) services to ensure accurate billing, coding, and reimbursement. This position plays a key role in supporting the revenue cycle by reviewing claim accuracy, identifying trends or...

We're looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are expected to process number of worktypes that has TAT requirements of Day 0, 2, 15, 30 and so on.Position Responsibilities:Create death benefit packages and send correspondence via fax, mail, or email to obtain missing documents.Report any overpayments,...

This Sr. Claims Analyst position is responsible for the overall review, assessment, and decision of claims.Position Responsibilities:Determine eligible benefits based on documents submitted and policy provisions.Adjudicate claims and determine corresponding recommendation or decision within prescribed approval limits and within the defined turnaround...

MAJOR DUTIES AND RESPONSIBILITIES Checks documents received from claimant or intermediary and ensure their correctness. Evaluates each claim assigned and conduct investigation where necessary. Develops plans for investigation of claims and gather all necessary documents and information. Communicates with adjusters, claimants, the insured and other parties to...

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We’re looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are expected to process number of worktypes that has TAT requirements of Day 0, 2, 15, 30 and so on. Position Responsibilities Create death benefit packages and send correspondence via fax, mail, or email to obtain missing documents. Report any overpayments,...

YOUR ROLEVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary communication that should...

REQUIREMENTS: Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations. Preferably with experience in inpatient or outpatient services. Must know the basic insurance terms. Knowledge in Medical Billing/Claims. Experience in Revenue Cycle Management (or a part of)...

Responsibilities :Analyzes and reviews claims for accuracy, completeness and eligibility. Ensures timelypayment of rebates based on established Service Level Agreement. Prepares and maintainsreports for account monitoring purposes. Partner management on issue resolutions. Helpsidentify and resolves pain points to continuously improve customer...

Lexmark is now a proud part of Xerox, bringing together two trusted names and decades of expertise into a bold and shared vision.When you join us, you step into a technology ecosystem where your ideas, skills, and ambition can shape what comes next. Whether you're just starting out or leading at the highest levels, this is a place to grow, stretch, and make...