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)
Full-time 80 hours every 2 weeks | Mon-Fri flexible schedule between 6a-6p | Denial management experience desired | After minimal in-office training this position can be worked from home
JOB SUMMARY:
Responsible for the timely submission and resolution of all insurance claims per regulatory, payer and Corporate Compliance requirements. Functions as a resource in the area of third party, state and federal government payers. Responsible for integrating system practice management and other available system technologies into the billing process consistent with corporate guidelines. Supports and implements patient safety and other safety practices as appropriate. Supports and demonstrates Family Centered Care principles when interacting with patients, their families and with co-workers.
"My team’s culture is friendly and united, everyone on the team engages in a positive way and helps each other out when needed." ~Michele (Current Claims Assistant)
QUALIFICATIONS:
CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employers.
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