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Medical Claims Analyst

Creative Financial Staffing

This is a Full-time position in San Antonio, TX posted October 13, 2021.

Medical Claims 2 Direct Hire roles to fill ASAP

Call 210.851.8554

ABOUT THE COMPANY

  • Our client is a leading privately-held healthcare organization and has been in business over 30 years
  • This is a direct hire role, you will go directly on the client’s payroll day one!
  • Comprehensive benefit package to include
    • 401(K) Match and Company Profit Sharing plan
    • Medical, Dental, Vision coverage
    • Flexible Spending Account and HSA Account
    • Life/AD&D insurance
    • Accident/Critical Illness Insurance
    • Competitive Paid Time Off
    • Professional development/tuition reimbursement
    • Discount fitness memberships
    • Work/Life resources

Responsibilities of the Medical Claims Analyst:

  • Review claims for financial responsibility including determining coordination of benefits
  • Review claims for duplicates, denials and referrals and ensures that claims information is matched to appropriate authorization
  • Process claims appropriately per contract or standard processing guidelines which
  • includes appropriate coding of CPT and ICD codes against charges that are being billed and entered
  • communications) on all overpayments created by an analyst or any overpayments identified by analyst

Experience preferred for the Medical Claims Role:

  • 2+ years of medical claims processing experience
  • Proficient with Medicare processing guidelines, working knowledge of medical contracts, facility and ambulatory payment methodologies
  • Must have commonly-used knowledge of claims examination concepts, practices and rules
  • This position utilizes experience and judgment to plan, accomplish goals and effectively solve problems

Our client is moving very quickly on this opportunity!

KEYWORDS: Medical Claims, Medical Billing, Medical Collections, Payment Posting