
Medical Claims Analyst
1 day ago
Job Summary
We are seeking a detail-oriented Medical Claims Analyst to join our team. In this role, you will maximize insurance reimbursement for healthcare practice owners by identifying root causes of claim denials, underpayments, or delays.
About the Role:
- Discover and resolve issues related to medical insurance claim denials, underpayments, or delays
- Interact with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment
- Plan and execute medical insurance claim denial appeal process
- Collaborate with practice owners and clinicians to correct missing or incorrect data on insurance claims
Requirements:
- 6 months experience in US-based AR follow-up and charge and payment posting
- Familiarity with US medical insurance industry and insurance claims processing cycle
- Knowledge of ICD-10, CPT, and HCPC coding systems
- Understanding of CMS-1500 and UB-04 claim formats
- Experience with Vericle Software
- Excellent communication and problem-solving skills
- Self-motivated and able to work autonomously
Work Environment:
This is an entry-level position requiring a high comfort level working on Eastern Time Zone/US Shift. A laptop/Desktop with at least 8 GB of RAM and good internet access are necessary for the role.
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