Claims Analyst - High-Volume Medical Billing & AR

Insight Global; Red Bank (NJ); Sur place; USD 52 000 - 70 000; Plein temps

Résumé du poste

Insight Global is seeking a detail-oriented Claims Analyst to support a busy plastic and reconstructive surgery practice in Red Bank, NJ. You will join a high-volume revenue cycle team focusing on insurance claim resolution, denials, AR follow-up, and collections across both in-network and out-of-network claims.

The ideal candidate has 2+ years in medical billing or AR, with strong EOB interpretation, payer follow-up, and knowledge of CMS forms.

Qualifications

• 2+ years of medical billing, medical collections, AR follow-up, or denials experience.
• Strong ability to read and interpret EOBs; comfortable with in-network and out-of-network EOB examples.
• Working knowledge of insurance claim processing, payer follow-up, claim denials, adjustments, refunds, and outstanding AR.
• Experience working with in-network and out-of-network medical claims.
• Familiarity with CPT codes, ICD codes, medical terminology, and CMS-1500/HCFA and UB-04 forms.
• Ability to work a high-volume claims queue balancing speed, accuracy, and quality of documentation.
• Strong communication skills for payer follow-up, internal collaboration, and documentation.
• Adaptable, team-oriented mindset with ability to follow established processes and build on training.

Responsabilités

• Support a high-volume medical billing and revenue cycle team.
• Focus on insurance claim resolution, denials, AR follow-up, and collections.
• Work across in-network and out-of-network claims with strong documentation and communication.

Connaissances

Medical billing

AR follow-up

EOB interpretation

Payer follow-up

Communication

Teamwork

Process adherence

Description du poste

Insight Global is seeking a detail-oriented Claims Analyst to support a busy plastic and reconstructive surgery practice in Red Bank, NJ. You will join a high-volume revenue cycle team focusing on insurance claim resolution, denials, AR follow-up, and collections across both in-network and out-of-network claims.

The ideal candidate has 2+ years in medical billing or AR, with strong EOB interpretation, payer follow-up, and knowledge of CMS forms.