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.