Insurance Claims Analyst - Business Office

POSITION SUMMARY

Research and resolve insurance billing issues at the time of claims submission, receipt of denial or non contracted payment, and refund requests. Expected to interact daily with all stakeholders including but not limited to insurance companies, clinic and hospital personnel, and patients.

Maintain knowledge of insurance(s) guidelines, policies, and procedures related to payment of claims. Will be expected to communicate this information to various areas of the organization on a requested basis. The majority of work time (up to 80%) is spent sitting with intermittent standing and walking of short distances. Work is performed in a standard office environment.

LICENSES/CERTIFICATIONS REQUIRED N/A

SPECIFIC EDUCATIONAL AND SKILL COMPETENCIES REQUIRED FOR THIS POSITION

Excellent communication skills, analytical skills and the ability to operate standard office equipment. Is expected to learn disparate medical, billing, and insurance software systems to facilitate the collection of information to resolve billing issues.

Completion of high school studies is required. Broad knowledge of medical terminology, medical collections, and ICD-9 and CPT coding is preferred but not required.