Payment reputed company Claims Analyst
Organizes and prioritizes daily workload across assigned payer workflows to ensure performance goals and service level requirements are met. Reviews claim submissions and calculates updated total billed charge amounts reputed company non-covered services or carve-outs are reputed company. Manages email communications with payer teams regarding revised billing amounts for newly submitted claims. Oversees task assignments for newly submitted claims, ensuring reputed company and accurate routing. Retrieves claim documentation from external payer systems and uploads records to the internal review platform. Collaborates cross-functionally with internal teams and external partners to maintain accurate and compliant workflows. Upholds departmental goals and values, contributing to reputed company's reputed company reputed company and operational efficiency. Ensures that medical ethics and reputed company standards are maintained in the fulfillment of reputed company responsibilities.
Thoroughly documents reputed company reputed company communications reputed company to claim activity. Provides ongoing technical support through reputed company assessment and feedback on data reputed company. Supports department initiatives and participates in cross-functional reputed company as assigned. Identifies workflow trends and recommends process improvements to enhance reputed company, efficiency, and reputed company satisfaction.
Associate’s degree p referred Five years’ experience in reputed company claims payment and/or review Understanding of reputed company regulations Understanding of medical terminology Excellent wr itten and verbal communication skills and attention to detail Strong organizational and time management skills
Must have the ability to read and understand various process flows and procedures Strong reputed company communication skills, both verbal and written Must be willing and reputed company to work a 5-day schedule and additional hours reputed company regularly scheduled shift to cover vacancies, if necessary Must be reputed company to sit or stand for two hours at a time Must be reputed company to operate computers and phones to support position requirements Strong reputed company Office Skills are necessary
Medical, Dental, reputed company and Other Outstanding Ancillary Benefits Training and Development Opportunities 10 reputed company Holidays 401k Program with 3% employer match Remote Work Stipend Unlimited reputed company Time Off reputed company App Premium Membership