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Claims Analyst

LHH

United States

Remote

USD 60,000 - 80,000

Full time

2 days ago

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Job summary

Join LHH as a Revenue Cycle Specialist in Medicare Collections, where you'll contribute to patient care by ensuring timely claims resolution. Ideal candidates possess strong analytical skills, attention to detail, and experience with healthcare reimbursement processes. This role offers a competitive hourly pay and the flexibility of remote work.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401K Plan

Flexible working hours

Qualifications

Strong mathematical and analytical skills.
Proficiency in Microsoft Office tools (Outlook, Word, PowerPoint, Excel, OneNote).
Excellent written and verbal communication skills.

Responsibilities

Research and resolve unpaid or underpaid Medicare claims.
Navigate payer systems to ensure timely resolution.
Maintain confidentiality of patient information according to HIPAA.

Skills

Communication

Problem Solving

Analytical Skills

Attention to Detail

Education

High school diploma or equivalent (GED)

Tools

Microsoft Office

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This range is provided by LHH. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Title: Revenue Cycle Specialist: Medicare Collections (RSI)

Pay rate: $20 - $22/hr.

Schedule: Remote (Monday- Friday 8 am – 4:30 pm MST (30 minute clocked out lunch))

Job Description:

Would you like to work for a company with Core Values such as TEAM and FUN, Do you want your work to make a difference Are you looking to build your career in healthcare Then, join our growing team, which offers abundant opportunities to develop your professional and personal skills, advance your career, and positively impact our patients' lives.

Our client is hiring Revenue Cycle Specialists for our Medicare Patient Accounts team in our Revenue Operations Department. Successful individuals in this role are highly ambitious, results-driven, and like root cause analysis. This position requires a high level of attention to detail, critical thinking, and the ability to work well as part of a fast-paced team. In addition, the ideal candidate has a high level of multitasking abilities, strong mathematical and analytical skills, and is driven by moving metrics to achieve success.

Specialists in this role will conduct collections activities which will entail contacting Medicare Administrative Contractors (MACs) to reconcile outstanding accounts receivable (debit balances), research and resolve problem accounts, and request rebills or adjustments on claims.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; Actions include but are not limited to remit and EOB review, calling payer(s) and clinics, rebilling claims, navigating payer portals, and taking adjustments in the billing system
Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayments and follow appropriate documented policy and procedure to remediate
Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claims
Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
Stay current on communication relating to healthcare reimbursement and regulatory changes
Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives
Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude
Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and client policies
Consistent and punctual attendance as scheduled is an essential responsibility of this position

Qualifications:

Required:

High school diploma or equivalent (GED)
Proficiency in Microsoft office tools such as Outlook, Word, PowerPoint, Excel, and OneNote
Excellent and demonstrated written and verbal communication skills
Computer competency; typing, basic computer troubleshooting, and navigation
Ability to problem solve and critically think root cause analysis

Preferred Qualifications:

Healthcare experience: insurance or revenue cycle is a plus!
Insurance claim collections experience

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Seniority level

Seniority level
Not Applicable

Employment type

Employment type
Contract

Job function

Job function
Analyst
Industries
Hospitals and Health Care

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