Claims Analyst
$39,520–$53,040 year
On-sitePhoenix, Arizona, United States
Job Summary
Review, analyze, and process medical and dental claims from first submission to final payment while maintaining complete accuracy and quality standards. Gain and maintain understanding of plan designs to effectively apply knowledge during claim analysis. Work cooperatively with team members, actively participate in meetings and training, and perform assigned projects. Maintain production and quality standards using extensive knowledge of medical terminology, CPT Codes, ICD 9/10, and claim forms. Read and assess medical documentation to draw valid conclusions, utilizing MS Excel and Word skills. Sit for long periods operating a computer keyboard while meeting established deadlines.
Required Qualifications
- High School Diploma/GED
- Three (3) years recent experience processing medical claims
- Ability to maintain production and quality standards
- Extensive knowledge of medical terminology, CPT Codes, ICD 9/10 and medical claim forms
- Ability to read, analyze and assess medical documentation and draw valid conclusions
- Minimum 40 WPM and 3,000 KPH proficiency
- Solid knowledge of MS Excel & MS Word (i.e. pivot tables and lookup functions)
- Professional, client-focused approach to colleagues and assignments
- Strong oral and written communication skills with exceptional attention to details
- Ability to seek out experiences that may change perspective or provide an opportunity to learn new things
- Strong dedication to follow-through on all tasks and assignments
- Ability to organize, set priorities, work independently and complete multiple projects within established deadlines
- Ability to sit for long periods of time operating a computer keyboard
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