Claims Analyst

Job Summary

A company is looking for a Claims Analyst to ensure timely processing of medical claims and verify submitted information.

Key Responsibilities

• Process first-time claims and apply policy provisions to determine claim eligibility
• Research and determine the status of medical-related claims while maintaining records and documentation
• Meet department production and quality standards and complete additional claims training programs as required

Required Qualifications

• High school diploma or equivalent
• 1 year of experience in the health insurance industry, claims processing, or related office services
• Proficiency in Microsoft Office applications
• Basic math skills and knowledge of medical coding (ICD-9/10, CPT, HCPCs) preferred
• Experience with Medicaid or Medicare claims preferred