The Insurance Claims Analyst reviews, processes, and analyzes medical insurance claims for accuracy and compliance with policy guidelines. The role investigates discrepancies, ensures timely payments to providers, verifies patient information, checks for coding errors, communicates with healthcare providers and internal departments, and maintains detailed records. The position requires strong analytical and problem-solving skills, attention to detail, and familiarity with medical billing and claims management software.
The analyst also provides follow-up on outstanding accounts receivable using ATB worklist reports and multiple payor communication channels, including portals, phone inquiries, and written correspondence.
Education
- High school diploma or GED required
Experience
- Previous billing and claims experience within a hospital and/or clinic business office preferred
- 2+ years of experience preferred
- Broad knowledge of medical terminology, medical collections, MS-DRG coding methodology, ICD-10, and CPT coding preferred
Skills
- Basic working knowledge of the MS Office suite
- Ability to operate standard office equipment
- Strong analytical and problem-solving skills
- Attention to detail
- Effective communication with providers, patients, and internal departments
Location
Arkansas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago