
Senior Medical Claims Analyst
1 day ago
This position presents an exciting chance to leverage expertise in medical insurance claims processing and contribute to a dynamic team.
About the Role- Analyze complex medical claim denials, underpayments, and delays to propose effective resolutions.
- Negotiate with US-based insurance carriers to resolve unpaid claims, delayed processing, and underpayment.
- Plan and execute medical insurance claim denial appeal processes.
- Collaborate with clinicians and practice owners to rectify missing or incorrect data on insurance claims.
- A minimum of 6 months experience in US-based AR follow-up and charge/payment posting.
- Proficiency with the US medical insurance industry and insurance claims processing cycle.
- Thorough knowledge of ICD-10, CPT, and HCPCS coding systems.
- Familiarity with CMS-1500 and UB-04 claim formats.
- Experience with Vericle Software is essential.
- Excellent communication, problem-solving, and self-motivation skills.
- Ability to work independently and manage time effectively.
- Comfort working on Eastern Time Zone/US Shift.
- Reliable internet access at home.
- Mobile hotspot.
- Laptop/Desktop with at least 8 GB of RAM.
This is an entry-level, full-time position within the healthcare provider industry.
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