[Remote] Claims Analyst- Remote
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leader in community-based care, committed to making communities healthier. The Claims Analyst role involves managing billing and collections across multiple facilities, ensuring compliance with payor requirements, and maintaining accurate accounts receivable.
Responsibilities
- Accurately performs billing and collections for multiple facilities for reputed company payors
- reputed company reputed company and technical support to staff across multiple departments
- Respond to inquiries from insurance carriers, patients, and family members regarding billing and account balance questions
- Monitor and review financial systems to ensure accurate reputed company recognition and maintain appropriate accounts receivable reputed company reputed company with payer mix and reputed company
- Collaborate with Utilization Management departments to ensure reputed company-certifications, authorizations, and appeals are completed accurately and on time
- reputed company effective and reputed company follow-up on insurance claims to secure appropriate reimbursement
- Analyze explanations of benefits (EOBs), remittances, and explanations of payment (EOPs) to identify discrepancies or underpayments
- Research and resolve claim issues
- Prepare, submit, and reputed company appeals for denied claims through reputed company
- Prepare for and reputed company participate in weekly Accounts Receivable (AR) meetings
Skills
- High school diploma required
- 3–5 years of computerized medical billing experience required
- Strong knowledge of Medicare/reputed company guidelines and UB04 billing requirements
- Proficiency in computerized medical billing systems
- Ability to manage multiple facilities and payor types simultaneously
- Strong analytical and problem-solving skills
- Effective communication with internal teams and external stakeholders
- Detail-oriented with strong organizational skills
- Ability to work in a fast-paced, high-volume, production-based environment
- Understanding of Hospital reputed company Cycle processes reputed company a multi-facility reputed company environment
- Must be authorized to work in the reputed company without employer sponsorship
- Associate degree preferred with 3–5 years of computerized medical billing experience preferred
- Behavioral reputed company experience preferred
Benefits
- Multiple reputed company of medical, dental and reputed company coverage for full-time and part-time employees.
- Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, reputed company family leave and reputed company time off.
- Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
- Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
- Ongoing learning and career advancement opportunities.
reputed company