Job Title:

Medical Claims Analyst Job Duties:

Perform follow up of unpaid/rejected claims for government, commercial and WC payers. Check the status of submitted claims by contacting the insurance company or utilizing online provider portals Correct rejected or unpaid claims and resubmit as needed, including rejected claims in clearinghouse application. Track and report claims worked to Lead Claims Specialist and/or Billing Manager. Submit appeals with supporting documentation when appropriate Ensure submitted claims have been received and accepted by our clearinghouse and correct and resubmit any claims that are rejected Communicate rejection trends and payer issues to Lead Claims Specialist and/or Billing Manager to ensure prompt action and remediation Review medical records and claim forms prior to submission to ensure proper documentation and billing Assist with charge entry as needed or in periods of high patient volume Answer incoming billing calls regarding account questions Collect and process patient payments for account balances Other duties as assigned.

Professional Requirements:

Self-starter with ability to multitask and work effectively to complete assigned tasks Strong organizational and written communication skills Proficiency in MS Office including Word, Excel & Outlook Excellent customer service and phone skills Knowledge of

ICD-10, CPT & HCPCS

coding a plus Broad knowledge and understanding of insurance terms including co-pay, coinsurance, deductible, allowable amounts, etc., preferred Knowledge of Maryland and Mid-Atlantic Insurance companies preferred. Good problem-solving and critical thinking skills

Other:

Location:

Bel Air office

Hours:

M-F 8am-4:00pm (1/2 hour lunch) We offer a full benefits package including PTO, SSL and 7 paid holidays. Eligible for health, dental and vision (single and family) the first of the month following 30 days of full-time work. 401(k) plan with match available after 1 year. We offer exciting opportunities for growth. Position is on site in Bel Air, MD 5 days per week. No relocation assistance will be provided.

Job Type:

Full-time Pay:

$21.00 - $23.00 per hour