
Medical Claim Specialist
24 hours ago
Medical Claim Analyst
About the Position:A highly skilled Medical Claim Analyst is sought after to maximize insurance reimbursement for healthcare practice owners by identifying opportunities for improvement in claims processing and follow-up.
Key Responsibilities:- Maximize insurance reimbursement by analyzing medical insurance claim denials, underpayments, or delays to determine root causes and propose effective resolutions.
- Interact with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment, ensuring timely resolution and optimal reimbursement.
- Develop and execute medical insurance claim denial appeal processes, resulting in increased revenue for healthcare practices.
- Collaborate with US-based practice owners and clinicians to complete and correct any missing or incorrect data on their insurance claims, ensuring accurate billing and maximum reimbursement.
- A minimum of 6 months experience in US-based AR follow-up and charge and payment posting.
- A college degree in Computer Engineering, Mathematics, or a similar field.
- Hands-on experience with data analysis and classification, as well as good analytical skills.
- Familiarity with the 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.
- Excellent listening, communication, and problem-solving skills.
- Self-motivated and able to work autonomously.
- Experience working with chiropractic, physical therapy, and mental/behavioral health specialties.
- High comfort level working on Eastern Time Zone/US Shift.
- Good internet access at home.
- Mobile Hotspot.
- Laptop/Desktop of at least 8 GB.
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