Medical Claims Analyst

Job Title: Medical Claims Analyst Job Duties:

• Perform follow up of unpaid/rejected claims for government, commercial and WC payers.
• Check the status of submitted claims by contacting the insurance company or utilizing online provider portals
• Correct rejected or unpaid claims and resubmit as needed, including rejected claims in clearinghouse application.
• Track and report claims worked to Lead Claims Specialist and/or Billing Manager.
• Submit appeals with supporting documentation when appropriate
• Ensure submitted claims have been received and accepted by our clearinghouse and correct and resubmit any claims that are rejected
• Communicate rejection trends and payer issues to Lead Claims Specialist and/or Billing Manager to ensure prompt action and remediation
• Review medical records and claim forms prior to submission to ensure proper documentation and billing
• Assist with charge entry as needed or in periods of high patient volume
• Answer incoming billing calls regarding account questions
• Collect and process patient payments for account balances
• Other duties as assigned. Professional Requirements:
• Self-starter with ability to multitask and work effectively to complete assigned tasks
• Strong organizational and written communication skills
• Proficiency in MS Office including Word, Excel & Outlook
• Excellent customer service and phone skills
• Knowledge of ICD-10, CPT & HCPCS coding a plus
• Broad knowledge and understanding of insurance terms including co-pay, coinsurance, deductible, allowable amounts, etc., preferred
• Knowledge of Maryland and Mid-Atlantic Insurance companies preferred.
• Good problem-solving and critical thinking skills Other:
• Location: Bel Air office
• Hours: M-F 8am-4:00pm (1/2 hour lunch) We offer a full benefits package including PTO, SSL and 7 paid holidays. Eligible for health, dental and vision (single and family) the first of the month following 30 days of full-time work. 401(k) plan with match available after 1 year. We offer exciting opportunities for growth. Position is on site in Bel Air, MD 5 days per week. No relocation assistance will be provided. Job Type: Full-time Pay: $21.00 - $23.00 per hour