Claims & Denials Analyst

Lawall Prosthetic and Orthotic Services; Langhorne (Bucks County); On-site; USD 40,000 - 65,000; Full time

Benefits offered by this job

Supportive, team-oriented culture

Opportunities for growth and on-the-job training

Safe, clean, and friendly office environment

Help patients access care

Job summary

A growing healthcare company in Langhorne is seeking a Claims & Denials Analyst for a full-time position. The role involves preparing and reviewing health insurance claims, verifying eligibility, and collaborating with teammates to resolve billing issues. Candidates should have strong attention to detail, excellent communication skills, and experience with patient billing systems. This is an excellent opportunity for individuals wanting to grow in a supportive and team-oriented environment.

Qualifications

• 2 years of recent experience in healthcare accounts receivable required.
• Thorough knowledge of private insurance claims processes is essential.
• Detail-oriented and organized individual is needed.
• 2 years of healthcare accounts receivable experience.
• Thorough knowledge of private insurance claims processes.
• Proficient in Microsoft Outlook, Word, and Excel.
• Experience with EMR and patient billing software strongly preferred.

Responsibilities

• Prepare and review patient documentation and claims.
• Verify insurance eligibility and benefit coverage.
• Ensure accurate coding and billing data.
• Submit claims to private insurers and follow up.
• Investigate denials and work error/reject reports.
• Update patient and insurance information in our systems.
• Collaborate with teammates to resolve billing issues.

Skills

Attention to detail

Clear communication

Computer skills

Problem-solving

Professionalism

Education

High school diploma or GED

2 years of college or equivalent work experience

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

EMR systems

Patient billing software

Job description

Claims & Denials Analyst - full-time - in-office - Langhorne, PA - M-F, 8am to 4:30pm

We’re a fast-growing, employee-friendly prosthetics and orthotics company seeking a Claims & Denials Analyst to join our dedicated team in Langhorne.

This is a great opportunity for someone with a positive attitude, strong attention to detail, and some experience with health insurance claims—especially if you’re eager to learn and grow in a meaningful healthcare environment.

Why You’ll Love Working With Us

• Supportive, team-oriented culture
• Safe, clean, and friendly office environment
• Opportunities for growth and on-the-job training
• A chance to help patients receive life-changing care

What You’ll Do

You’ll play a key role in making sure our patients' health insurance claims are submitted, processed, and resolved smoothly. Responsibilities include:

• Preparing and reviewing patient documentation and claims
• Verifying insurance eligibility and benefit coverage
• Ensuring accurate coding and billing data
• Submitting claims to private insurers and following up regularly
• Investigating denials and working error/reject reports
• Updating patient and insurance information in our systems
• Collaborating with teammates to resolve billing issues quickly and correctly

What We’re Looking For

We’re looking for someone who is:

• Friendly, dependable, and eager to learn
• A clear communicator with strong phone and computer skills
• Computer-savvy, with experience using EMR or patient billing systems
• Detail-oriented and organized
• Able to work independently and manage priorities effectively
• Comfortable handling sensitive information with professionalism

Qualifications

• High school diploma or GED required
• 2 years of college or equivalent work experience preferred
• 2 years of recent experience in healthcare accounts receivable
• Thorough knowledge of private insurance claims processes
• Proficient in Microsoft Outlook, Word, and Excel
• Experience with EMR and patient billing software strongly preferred

Bonus Points If You

• Have some experience processing claims for respiratory DME
• Have experience processing claims for orthotics and prosthetics
• Enjoy solving puzzles and getting things “done right”
• Bring a positive, team-first attitude every day

We offer competitive pay, benefits, and a great place to grow your career.

If you’re someone who takes pride in doing meaningful work and helping people access the care they need, we want to hear from you.

This is a drug-free workplace. Employment is contingent upon a background check and drug screening.