Claims Analyst jobs in Dover, NH
Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Analyst jobs
Claims Denial Analyst
- PMC Medical Group
-
Somersworth, NH
FULL_TIME
-
PMC Medical Group in Somersworth, NH is accepting applications for a full time Claims Denial Analyst. This position is 40 hours per week; Monday through Friday with evenings and holidays off. This is a hybrid/remote position.Claims Denial Analyst
SUMMARY
Job Summary: Responsible for daily billing functions including denied claim follow-up, patient accounts
and month-end activities.Essential Functions:- Follow up on denied claims with insurance payers according to timely filing guidelines
- Track and report insurance issues and their resolutions
- Write and send appeals on unpaid or underpaid claims
- Research insurance payment policy guidelines and changes
- Analyze ,investigate, and problem solve multiple issues concurrently
- Answer incoming and transferred telephone calls
- Assist in quality improvement of department
- Participate in regularly scheduled department meetings
- Actively participate in safety of department
- Maintain a professional appearance
- Maintain a courteous, considerate and respectful demeanor with patients and visitors
- Resolve interpersonal conflicts that arise in a professional manner
- Maintain consistent attendance, reliability and punctuality
- Accept constructive criticism and attempt to use it to improve personal practice
- Make appropriate arrangements for absences
Other Functions and Responsibilities:
Perform other duties as assigned; including but not limited to projects, office cleaning, or filling in for other administrative positions during absences.REQUIRED QUALIFICATIONS
Education: High school diploma or equivalentExperience:
Knowledge/Skills/Abilities: Insurance knowledge including coding, claims submission, charge entry,
posting payments, collections, insurance appeals, and prior authorization process, familiarity with multiple
insurances and their medical policies, professional and facility billing requirements, experience and
understanding of working with billing reports and aged accounts, basic understanding of provider
credentialing and third party payer contracts, familiar with the use of CPT and ICD-9 manuals, ability to
request and research information regarding billing procedures from Medicare, Medicaid and third party
payers.
PREFERRED QUALIFICATIONS- Education: Associate Degree in Medical Billing or related field, or related certification
- Experience: 1-2 years medical billing
- Knowledge/Skills/Abilities:
* The above statements are intended to describe the general nature and level of work being performed by individuals
assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills
required of personnel so classified.WORK ENVIRONMENT
The organization strives to maintain a clean, well-lit, ventilated facility. Position involves the occasional exposure to
patients with contagious or communicable diseases, and disruptive, violent or aggressive patient behavior. Position may at times involve a high-stress work environment with multi-tasking demands.PHYSICAL DEMANDS:
While performing the duties of this job, the employee is required to stand, walk, sit for up to 8 hours per day, climb stairs, balance, kneel, bend, stoop, crouch, exercise hand controls including fingering and keyboarding for up to 8 hours per day, lift or carry up to 50 lbs, reach, use a computer for up to 8 hours per day, talk, hear; specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
- 20 Days Ago
Field Technician
- Hancock Claims Consultants
-
Dover, NH
CONTRACTOR
- CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
- 1 Month Ago
Claims Processor
- FedPoint
-
Portsmouth, NH
FULL_TIME
- Are you detail-oriented, committed to make an impact in the world of claims processing? We're looking for two Full-Time Claims Processors to join our team! As a Federal Government contractor, FedPoint...
- 13 Days Ago
Benefits Claims Specialist
- Cobalt Benefits Group LLC
-
Exeter, NH
FULL_TIME
- DescriptionJoin our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Benefits Claims Specialist, you’ll play an important role in helping us offer cu...
- 16 Days Ago
Medical Billing and Claims Specialist
- Robert Half
-
Texas, TX
PER_DIEM
- Are you a detail-oriented professional with a passion for Medical Claims and Billing? Robert Half has partnered with a growing organization in the Texas City, Texas area who is actively hiring! We are...
- 18 Days Ago
Auto Damage Claims Adjuster
- Progressive Casualty Insurance Company
-
Kittery, ME
FULL_TIME
- Auto Damage Claims Adjuster Job Number: 223771 Join Forbes' 2023 Best Employer for Diversity!As an auto damage claims adjuster, you’ll serve as Progressive’s point of contact with customers – directin...
- 1 Month Ago
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0 Claims Analyst jobs found in Dover, NH area
CONSTRUCTION SCHEDULER
- BB&E Inc
-
Kittery, ME
- Job Description Job Description Construction Scheduler Job Summary: BB&E is looking for a Construction Scheduler to supp...
- 4/23/2024 12:00:00 AM
Data Analyst/BI Developer
- Sequel Medical Technology
-
Manchester, NH
- About Sequel Sequel Med Tech is an early-stage company developing the next generation of precision drug delivery devices...
- 4/23/2024 12:00:00 AM
Insurance Options Advisor
- The WRS Group - Symmetry Financial
-
Rochester, NH
- Job Description Job Description Are you looking for a work from home job with great possibilities and opportunities to m...
- 4/23/2024 12:00:00 AM
Life Insurance Sales Agent
- The Taylor Agency
-
Portsmouth, NH
- Job Description Job Description Driven Sales Agents Needed - Work from Home/Remote We have a great, supportive, and inno...
- 4/23/2024 12:00:00 AM
Insurance Options Advisor
- The WRS Group - Symmetry Financial
-
East Derry, NH
- Job Description Job Description Are you looking for a work from home job with great possibilities and opportunities to m...
- 4/23/2024 12:00:00 AM
Business Process Analyst - Data and Operations
- Highmark Health
-
Concord, NH
- Highmark Health Business Process Analyst - Data and Operations Concord , New Hampshire Apply Now This job provides exper...
- 4/22/2024 12:00:00 AM
Senior D&O Claims Analyst
- Masis Professional Group
-
Manchester, NH
- Masis Professional Group has partnered with a New England based insurance client seeking an experienced Sr. D&O Claims A...
- 4/21/2024 12:00:00 AM
Senior D&O Claims Analyst
- Masis Professional Group
-
Manchester, NH
- Masis Professional Group has partnered with a New England based insurance client seeking an experienced Sr. D&O Claims A...
- 4/21/2024 12:00:00 AM
About Dover, New Hampshire
Dover is a city in Strafford County, New Hampshire, United States. The population was 29,987 at the 2010 census, the largest in the New Hampshire Seacoast region. The population was estimated at 31,398 in 2017. It is the county seat of Strafford County, and home to Wentworth-Douglass Hospital, the Woodman Institute Museum, and the Children's Museum of New Hampshire....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$40,021 to $51,322
Dover, New Hampshire area prices
were up 1.4% from a year ago
were up 1.4% from a year ago
What does a Claims Analyst do?
Claims Analyst in Elkhart, IN
A medical claims analyst usually receives information via e-mail and uses specialized software programs to enter and manipulate claims data.
December 07, 2019
Claims Analyst in Hartford, CT
Disclose your identity or other information about you to any third party who claims that material posted by you violates their rights, including their intellectual property rights or their right to privacy.
February 07, 2020
Claims Analyst in Newark, NJ
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