Medical Claims Analyst

Medical Claims Analyst position available for candidates with experience working on medical claims, claim analysis, and the claim correction processes.
-The main purpose of a Medical Claims Analyst is to process pending medical claims, verifying and updating information on submitted claims, and reviewing work processes to determine reimbursement eligibility
-Ensure payments and/or denials are made in accordance with company practices and procedures
-Organize and work with detailed office or warehouse records, using computer to enter, access, search and retrieve data
-Provide customer service, such as giving limited instructions on how to proceed with claims or providing referrals to other facilities or contractors
-Review claims to determine whether or not claimant is covered under a policy, review policy to determine coverage, and evaluate the extent of a settlement; Prepare and review insurance claim forms and related documents for completeness
**Send your resume to [email protected] to be considered**
•Bachelor’s degree in Business, Computer Science, IT, Mathematics, Finance or related area of study (or equivalent combination of education and/or relevant work experience)
Highly Desired:
1.Intermediate/advanced MS Excel, MS Word experience
2.HS diploma or GED required
3. Medical claims experience


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