Healthcare Claims Analyst

Join Our Team

Our client, an exciting and rapidly growing organization, is on the lookout for a dynamic individual to join their team! Summary: Are you a whiz at decoding the mysteries of UB-04 billing and tackling claim denials like a pro? Do you thrive in the fast-paced world of hospital revenue cycle management? If so, we want you! Your mission, should you choose to accept it, involves resolving aged and denied claims, crafting compelling appeals, and ensuring those reimbursements roll in on time. All while keeping the peace with clients and payors. Key Responsibilities:

1. Dive into the world of denied hospital UB-04 claims and emerge victorious with accuracy and efficiency.
2. Channel your inner wordsmith to draft medical appeals that maximize recoveries.
3. Be the communication maestro, orchestrating effective conversations with insurers and healthcare providers to speed up resolutions.
4. Unravel the complexities of payor contracts, reimbursement policies, and coding (CPT, ICD, modifiers).

Requirements:

• Bachelor's degree preferred (but if you've got the skills, we want to hear from you!).
• 510 years of experience in hospital billing, collections, and appeals. You're a seasoned pro!
• Strong knowledge of the revenue cycle, billing forms, and medical terminology. Speak the language of healthcare fluently!