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Medical Claims Analyst
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90 Degree Benefits, Georgia
Remote
$42,640 Salary, Full-Time
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Job Description
Medical Claims Analyst 90 Degree Benefits, Georgia Duluth, GA Job Details Full-time $19 - $22 an hour 1 day ago Benefits Health insurance Dental insurance 401(k) Paid time off Employee assistance program Vision insurance Life insurance Retirement plan Qualifications Customer communication Teamwork Interpersonal skills Customer service Attention to detail Time management
Full Job Description Medical Claims Analyst Location:
Duluth, GA (Preferred) -Hybrid Remote:
Remote candidates will be consideredDepartment:
Claims Reports To:
Claims Manager Non-Exempt /Hourly Monday through Friday 8:30 to 5 EST 37.5 workweek Position Summary We are looking for a detail-oriented Claims Analyst to join our Third Party Administrator team supporting health benefit programs. In this role, you will review, analyze, and process medical claims accurately and efficiently while providing responsive service to members, providers, employers, and internal teams. Candidates with 1-3 years of medical claims experience are preferred, but we are willing to train motivated applicants who have strong analytical skills, attention to detail, and a willingness to learn. Local candidates are preferred; qualified remote candidates will also be considered. Essential Responsibilities- Review, analyze, and process medical claims accurately and timely according to plan documents and established guidelines.
- Evaluate eligibility, benefits, coding, pricing, documentation, and reimbursement accuracy.
- Research claim issues, resolve discrepancies, and coordinate with Customer Service, Eligibility, Account Management, and other departments as needed.
- Maintain accurate documentation of claim activity.
- Meet established quality and productivity standards.
- Ensure compliance with HIPAA and company policies.
- Assist with special projects and other duties as assigned. Desired Skills
- Strong analytical and critical thinking skills.
- Excellent attention to detail and accuracy.
- Ability to interpret benefit plans and claim documentation.
- Strong organizational and time management skills.
- Ability to work independently, prioritize workload, and learn new systems quickly.
- Excellent written and verbal communication skills.
- Proficiency with Microsoft Office, particularly Outlook and Excel.
- Positive attitude and willingness to learn.