Medical Claims Analyst

Job Summary

A company is looking for an RRT Analyst - Product.

Key Responsibilities

• Review and adjust medical claims for accuracy and compliance with regulations and policies
• Investigate claim discrepancies and communicate with relevant parties to resolve issues
• Document claim findings and support internal teams with claim-related inquiries

Required Qualifications, Training, and Education

• High school diploma or equivalent; Associate degree in Healthcare Administration preferred
• At least 1 year of experience in medical claims processing or related healthcare operations
• Working knowledge of medical terminology and coding systems (ICD 10, CPT, HCPCS)
• Proficiency in claims processing software and Microsoft Office applications
• Knowledge of UB 04 and CMS 1500 claim forms