Claims Analyst

Job Summary

A company is looking for a Claims Analyst to ensure timely processing of medical claims and verify submitted information.

Key Responsibilities

• Process first-time claims and determine reimbursement eligibility
• Research and determine the status of medical-related claims
• Maintain records and documentation while meeting department production and quality standards

Required Qualifications

• High school diploma or equivalent
• 1 year of experience in the health insurance industry or claims processing
• Proficiency in Microsoft Office applications
• Basic math skills and working knowledge of medical coding (ICD-9/10, CPT, HCPCs)
• Experience with Medicaid or Medicare claims preferred