Insurance Claims Analyst (Full-time, Monday - Friday, 8:00am-4:30pm)
On-siteFayetteville, Arkansas, United States
Job Summary
Analyze insurance claims to ensure accuracy, completeness, and compliance with policy guidelines. Verify patient information and check for errors in billing and coding, applying knowledge of ICD-10 and CPT codes. Investigate and resolve discrepancies, such as claim denials, by communicating with providers and internal departments. Provide timely follow-up on outstanding AR using assigned worklist reports, Payor portals, and phone inquiries. Maintain detailed records of claims and prepare reports on data trends and financial performance. Ensure claims are processed efficiently and that reimbursements are paid correctly and on time. Maintain AR collection at less than 30 days of account age. Serve as a liaison with healthcare providers, patients, and internal departments to answer questions and resolve issues. Work Monday through Friday, 8:00am-4:30pm, with 80% sitting and 20% standing or lifting up to 50 lbs.
Required Qualifications
- High School graduate or GED
- Basic working knowledge of the MS Office suite of software
- Ability to operate standard office equipment
- Previous billing and claims experience within a hospital and/or clinic business office
- 2+ year experience
- Strong analytical and problem-solving skills
- Keen eye for detail
- Familiarity with medical billing and claims management software
- Ability to lift 50 lbs
Desired Qualifications
- Previous billing and claims experience within a hospital and/or clinic business office with 2+ year experience, preferred
- Broad knowledge of medical terminology
- Broad knowledge of medical collections
- Broad knowledge of MS-DRG coding methodology
- Broad knowledge of ICD-10 and CPT coding
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.