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Claims Analyst
Job
AppleOne
Baton Rouge, LA (In Person)
$42,640 Salary, Full-Time
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Job Description
We are recruiting a Claims Analyst for a temp-to-hire opportunity with a growing organization in the insurance and healthcare administration space. This role is responsible for reviewing, analyzing, and adjudicating medical claims with accuracy, efficiency, and strong attention to plan guidelines. This is a great opportunity for a detail-oriented professional who enjoys research, problem-solving, and working with healthcare claims data. The team offers a supportive environment where motivated candidates can continue developing their claims administration knowledge, collaborate with multiple departments, and contribute to a service-focused operation. Local candidates in Baton Rouge, LA are preferred, but qualified remote applicants will also be considered. Key Responsibilities
- Review and process medical claims accurately and timely according to plan documents, eligibility requirements, and established guidelines.
- Analyze claims for benefits, coding, pricing, reimbursement accuracy, and required supporting documentation.
- Research claim issues, identify discrepancies, and coordinate with internal departments to resolve questions or concerns.
- Maintain accurate claim documentation and ensure all activity is completed in compliance with HIPAA and company policies.
- Meet established quality, productivity, and turnaround standards while supporting members, providers, employers, and internal teams.
- Assist with special projects and other claims administration duties as assigned. Compensation and Benefits
Pay:
$19.00 to $22.00 per hour.Job Type:
Temp-to-Hire.Location:
Baton Rouge, LA.