Medical Claims Analyst

Job Summary

A company is looking for a Medical Claims Analyst.

Key Responsibilities

• Review medical claim information for completeness and accuracy, with a focus on Stop-Loss claims
• Utilize medical terminology and billing codes to identify and troubleshoot issues in claims
• Verify eligibility and adhere to company policies, processing checks and reimbursements as necessary

Required Qualifications

• 3 years of experience in medical claims analysis, preferably with Stop-Loss claims
• High school diploma or equivalent
• Experience level: Experienced
• Ability to work remotely with reliable internet access
• Must pass a criminal background check