Medical Claims Analyst: Denials, Appeals & Data Insights

Stark Asia Solution Inc

4 days ago

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Payer follow-ups to track claim status and resolve outstanding balances with insurance carriers via phone, email, fax or portal.
Identify reasons for claim denials, research payer-specific billing guidelines, initiate appeals, and submit supporting documentation for recovery.
Handle billing tasks, correct medical billing errors, and post allowances/payments accurately in client and workflow systems.
Analyze claims data to spot recurring payment delays or denial trends and report them to management.
Adhere to HIPAA standards and information security policies regarding Protected Health Information (PHI).

Payer Follow-Ups: Contact insurance carriers via phone, email, fax, or portal to track claim status and resolve outstanding balances.
Denials & Appeals: Identify reasons for claim denials, research payer-specific billing guidelines, initiate appeals, and submit supporting documentation for recovery.
Billing & Posting: Handle billing tasks, correct medical billing errors, and post allowances/payments accurately in client and workflow systems.
Trend Analysis: Analyze claims data to spot recurring payment delays or denial trends and report them to management.
Compliance & Privacy: Strictly adhere to HIPAA (Health Insurance Portability and Accountability Act) standards and information security policies regarding Protected Health Information (PHI).

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