Insurance Claims Analyst (Full-time, Monday - Friday, 8:00am-4:30pm)
On-siteFayetteville, Arkansas, United States or Fayetteville, North Carolina, 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 accounts receivable using assigned worklist reports and various systems. Maintain detailed records of claims and prepare reports on data trends and financial performance, keeping AR collection under 30 days. Serve as a liaison to answer questions and resolve issues for healthcare providers, patients, and internal teams.
Required Qualifications
- High School graduate or GED
- Previous billing and claims experience within a hospital and/or clinic business office
- 2+ year experience
- Basic working knowledge of the MS Office suite of software
- Ability to operate standard office equipment
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
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