Medical Claim Analyst

1 - 5 years

0 Lacs

Posted:2 weeks ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As a Medical Claims Analyst, you play a crucial role in the organization by handling collections, account follow-up, billing, and allowance posting for assigned accounts. Your responsibilities include meeting daily productivity/quality standards, adhering to established policies and procedures, analyzing claims issues to reduce denials, communicating identified trends to management, initiating appeals when necessary, correcting billing errors, and sending accurate appeals with supporting documentation. Additionally, you will assist with special A/R projects, demonstrate analytical skills, maintain confidentiality, and act professionally in all interactions. - Handle collections, account follow-up, billing, and allowance posting for assigned accounts - Meet daily productivity/quality standards and adhere to established policies and procedures - Analyze claims issues to reduce denials and communicate identified trends to management - Initiate appeals when necessary and correct billing errors - Send accurate appeals with supporting documentation - Assist with special A/R projects - Demonstrate analytical skills, maintain confidentiality, and act professionally in all interactions - Completed at least a High School education - Experience in medical billing/AR collections - Strong interpersonal and problem-solving skills - Sound judgment, integrity, and dependability - Excellent written and verbal communication abilities - Gracious and welcoming personality for customer service interactions If you are seeking a challenging yet rewarding role where you can utilize your skills in medical claims analysis and contribute to the organization's success, this position may be the perfect fit for you. Join our team and be part of a dynamic environment dedicated to delivering high-quality service while upholding patient confidentiality and compliance with HIPAA standards.,

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