Claims & Denials Analyst

RiseMe; Langhorne (Bucks County); On-site; USD 48,000 - 60,000; Full time

Job summary

RiseMe in Langhorne, PA is hiring a Claims & Denials Analyst to join our in-office team. This full-time role runs Monday–Friday, 8:00 am to 4:30 pm and focuses on health insurance claims within a prosthetics and orthotics environment.

You’ll prepare and review patient documentation, verify insurance eligibility, submit claims to private insurers, and investigate denials. Proficiency with EMR and patient billing software, along with MS Excel/Outlook, is preferred; the role emphasizes accuracy,

Qualifications

• High school diploma or GED required.
• 2 years of college or equivalent preferred.
• 2 years of recent healthcare accounts receivable experience.
• Thorough knowledge of private insurance claims processes.

Responsibilities

• 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

Skills

Clear communicator

Attention to detail

Organization

Multitasking

Education

High school diploma or GED

2 years college or equivalent

Healthcare accounts receivable experience

Tools

EMR software

Microsoft Excel

Microsoft Outlook

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 Analystto 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. This is not a remote opportunity.

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

• 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

• 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.

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