Position Summary:

Claims Analyst is responsible for timely follow up and resolution of accounts with Health

Insurance companies and other third-party payers, insurance payer correspondence and appeals.

Responsibilities:

• Insurance follow-up on outstanding accounts
• Identifies patient liability
• Perform correspondence, including denials, appeals and updates
• Insurance re-bill requests or update accounts
• Evaluate accounts for payment opportunities based on timely filing and other criteria
• Contact payer and management on how to proceed on accounts that need to be addressed
• Maintain accurate documentation and reports following established process and procedures and client specific guidelines

Requirements:

• Basic computer skills
• Microsoft Word and Excel
• Familiar with major medical insurance carriers
• Medical terminology
• Some knowledge of HCPC, CPT & ICD9 codes
• Previous experience in health care billing environment
• Able to pass a credit check