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Insurance Claims Analyst

CONSULTING RADIOLOGISTS

Full-time, benefits-eligible position supporting insurance accounts receivable and reimbursement operations.

Location is hybrid in Eden Prairie, Minnesota, with an expectation to come into the office. Candidates must be located in the Twin Cities area.

Primary objective is to maintain accounts receivable at insurance department standards, monitor reimbursement from payers, and provide cross-coverage for team members to ensure continuity of operations and timely completion of essential responsibilities.

Responsibilities include monitoring aging accounts, processing insurance correspondence, following up on unpaid or rejected claims, submitting appeals on denied claims when appropriate, managing assigned accounts across multiple queues and RCM applications, reviewing claims and EOBs for accuracy, researching and correcting rejected claims with the clearinghouse, and serving as a liaison between the organization and insurance companies.

Requirements & Qualifications

Minimum one year of experience in provider billing processing.

Knowledge of standard healthcare forms and files, including CMS 1500, EOBs, EDI 835s, and 837s.

Basic CPT and ICD-10 coding knowledge and familiarity with medical terminology.

Preferred experience using Epic and Availity Essentials Pro or other eligibility verification tools.

Ability to work effectively in a team-oriented environment, adapt to changing priorities, provide cross-coverage, and support coworkers as needed.

Strong professional communication skills.

Working knowledge of Office 365 products and Excel.

Ability to maintain strict confidentiality.

Typing speed of 40 wpm accurately.

General math skills.

Benefits & Perks

401(k)

Dental insurance

Employee assistance program

Flexible spending account

Health insurance

Health savings account

Life insurance

Paid time off

Tuition reimbursement

Location

Minnesota, US

Employment Type

Full-time

Experience Level

Entry Level

Remote work allowed

Yes

Posted

1 month ago

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