Healthcare Claims Analyst: Adjudicate & Data Entry

CoxHealth; Springfield (MO); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

Retirement with employer match

Job summary

CoxHealth in Springfield, MO is seeking a Claims Analyst to review and adjudicate member and provider submitted medical claims, and to perform accurate data entry for paper claim forms. The role also involves validating scanned data and documenting responses to inquiry letters.

The ideal candidate has excellent verbal and written communication, can work independently and collaboratively, and is a self-starter.

Qualifications

• High school diploma or equivalent required.
• 1–2 years related experience preferred.
• Excellent verbal and written communication skills.
• Ability to work independently and in teams.

Responsibilities

• Review and adjudicate all member and provider submitted medical claims.
• Accurate data entry of paper claim forms.
• Validate scanned data recognized by scanning software.
• Document member responses to inquiry letters.

Skills

Communication skills

Independent work

Team collaboration

Education

High School Diploma or Equivalent

Tools

Computer systems proficiency

Job description

CoxHealth in Springfield, MO is seeking a Claims Analyst to review and adjudicate member and provider submitted medical claims, and to perform accurate data entry for paper claim forms. The role also involves validating scanned data and documenting responses to inquiry letters.

The ideal candidate has excellent verbal and written communication, can work independently and collaboratively, and is a self-starter.