Claims Analyst

Boston, MA

Responsibilities

 

  • Process Professional and Hospital claims accurately and timely within claiming system
  • Process claims according to set guidelines for payment or denial
  • Price claims according to Medicare, Medicaid and custom fee schedules
  • Meet personal and team goals and metrics
  • Manually enter data from CMS1500 and UB04 claims into claiming system as necessary
  • Communicate with supervisor on workload/issues/backlog
  • Provide customer support for a 1-800 line inquiries as needed

 

Requirements

 

  • High School degree or equivalent
  • Experience working in claims or healthcare environment as well as customer Service Call Center or Customer Facing positions
  • Proficient in Microsoft applications; particularly Word, Outlook and Excel
  • Ability to understand and use all systems required to perform duties, using dual screens
  • Ability to take initiative, prioritize tasks and manage workflow to meet deadlines
  • Basic understanding of medical coding guidelines and medical terminology preferred
  • Basic understanding of healthcare and claims concepts preferred

 

 

 

 

Note: Qualified candidates will be contacted within 2 business days of application. If an applicant does not meet the above criteria, we will keep your resume on file for future opportunities and may contact you for further discussion.

Date Posted 8/21/2020
Salary $17.00/ Hour






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