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)
Workers’ Compensation Claims Representative - This position will assist healthcare providers in identification, verification, billing and follow-up on workers’ compensation claims. The claims representative will help identify the appropriate workers’ compensation carrier and provide the documentation necessary for payment. The claims representative will work directly with adjusters to obtain claim updates and resolve outstanding claims. Representatives will need excellent communication and organizational skills to gather information and achieve resolution on assigned claims. Prior medical billing experience is preferred.
Essential Duties
Answering inbound calls and making outbound calls, while demonstrating proper phone etiquette and HIPAA compliance
Identification and verification of workers’ compensation insurance
Properly noting the account and setting appropriate follow-up
Proficient communication related to standard billing forms (UB04 and 1500)
High School Diploma and GED
Strong Knowledge of computer skills and typing
Intermediate knowledge of Outlook, Excel
Dependable and Detailed individuals with organizational skills
Great Communication skills
Recommended- 1- or 2-years' medical billing experience
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0 Claims Analyst jobs found in Florence, AL area