Claims Analyst

Job Summary

A company is looking for a Claims Analyst to review, analyze, and process healthcare claims for accuracy and compliance.

Key Responsibilities

• Review and analyze claims for accuracy, completeness, and compliance with guidelines
• Edit and submit claims timely to ensure prompt reimbursement
• Investigate and resolve claim discrepancies, denials, and appeals efficiently

Qualifications

• Minimum of 5 years of experience in healthcare claims processing and analysis
• Strong knowledge of healthcare billing, coding standards, and insurance policies
• Proficiency with claims systems and technical tools supporting revenue cycle operations
• Demonstrated ability to work independently in a fast-paced environment
• Analytical mindset with experience using data to drive insights and improvements