Iowa Licensed Medical Claims Analyst

Job Summary

A company is looking for a Medical Claims Analyst.

Key Responsibilities

• Process claims accurately according to group benefit plan specifications for healthcare benefits
• Monitor and apply modifiers and codes (ICD10, CPT, HCPC, ADA) for accurate claims processing
• Collaborate with various departments to ensure efficient claims processing and resolution

Required Qualifications

• High school diploma or GED
• Two years of experience in health claims or member and provider services
• Knowledge of medical terminology and procedures
• Ability to obtain and maintain required Claim Analyst licenses
• Understanding of HIPAA, Privacy, and Security regulations