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Job summary
A healthcare solutions company is seeking a Claims Analyst to ensure accurate billing and optimize claim performance. Responsibilities include analyzing claims, resolving denials, and collaborating with coding teams. The ideal candidate has at least 2 years of experience in healthcare billing and is proficient in related software. Strong analytical skills, attention to detail, and excellent communication abilities are essential. This role supports the revenue cycle through maintaining compliance with payer contracts and regulatory standards.
Qualifications
2+ years of experience in professional billing or claims analysis.
Strong understanding of coding and payer billing requirements.
Responsibilities
Review and analyze billing claims for accuracy and compliance.
Identify and resolve claim rejections, denials, and underpayments.
Prepare reports tracking key performance metrics.
Skills
Analytical skills
Attention to detail
Communication skills
Proficient in Microsoft Excel
Education
Bachelor's degree in healthcare administration or related
Tools
Epic Professional Billing
Cerner
Job description
A healthcare solutions company is seeking a Claims Analyst to ensure accurate billing and optimize claim performance. Responsibilities include analyzing claims, resolving denials, and collaborating with coding teams. The ideal candidate has at least 2 years of experience in healthcare billing and is proficient in related software. Strong analytical skills, attention to detail, and excellent communication abilities are essential. This role supports the revenue cycle through maintaining compliance with payer contracts and regulatory standards.