Medical Claims Analyst

The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts. The role ensures accurate, timely resolution of outstanding claims through proactive follow-up and analytical problem-solving.

Responsibilities

• Follow up with payers via phone, email, fax, or payer portals to ensure timely resolution of outstanding claims.
• Meet and maintain daily productivity and quality standards.
• Use workflow systems, client host systems, and other tools to collect payments and resolve accounts.
• Adhere to all client and team policies and procedures.
• Maintain knowledge of timely filing deadlines for designated payers.
• Research payer-specific billing guidelines as needed.
• Analyze and resolve issues causing payer payment delays.
• Identify trends in claim issues to proactively reduce denials.
• Communicate identified issues and trends t...