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.
