Hybrid Healthcare Claims Analyst ICD-10/CPT Expert

Accessia Health; Midlothian (VA); Hybrid; USD 52,000 - 78,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) retirement plan with employer 


Paid time off and holidays

Employer-paid life and disability

Job summary

Accessia Health, a national nonprofit, seeks a Healthcare Claims Analyst to review and process patient assistance claims, verify eligibility, and ensure accuracy and compliance with program requirements.

The role handles CPT/ICD-10 code analysis, reimbursement calculations, and timely payments, with a hybrid schedule onsite Tue–Thu and remote Mon/Fri. Requires at least five years in claims processing and HIPAA familiarity.

Qualifications

• Minimum five years of experience in medical claims processing, analysis, or reimbursement.
• Working knowledge of CPT and ICD-10 coding.
• Familiarity with healthcare billing regulations and compliance standards.
• Strong attention to detail, accuracy, and analytical problem-solving skills.
• Excellent written and verbal communication skills.

Responsibilities

• Review patient assistance claims and explanations of benefits for accuracy and completeness.
• Verify patient eligibility and account information against program requirements.
• Analyze CPT and ICD-10 codes to ensure claims align with services.
• Calculate and process reimbursement amounts per policy and procedures.
• Identify and document claim errors or discrepancies for resolution.
• Communicate with providers, patients, and payees to obtain required documentation.
• Maintain accurate claims records and protect sensitive information per HIPAA.

Skills

Medical claims processing

Attention to detail

Analytical problem-solving

Verbal & written communication

Multitasking & time management

Education

CMC Certification

Job description

Accessia Health, a national nonprofit, seeks a Healthcare Claims Analyst to review and process patient assistance claims, verify eligibility, and ensure accuracy and compliance with program requirements.

The role handles CPT/ICD-10 code analysis, reimbursement calculations, and timely payments, with a hybrid schedule onsite Tue–Thu and remote Mon/Fri. Requires at least five years in claims processing and HIPAA familiarity.