Medical Claims Analyst

Expresscare-Urgent-Care-Centers; Bel Air (MD); On-site; USD 29,000 - 32,000; Full time

Benefits offered by this job

Benefits package

PTO

7 paid holidays

401(k) plan with match

Job summary

Expresscare-Urgent-Care-Centers in Bel Air, MD is seeking a Medical Claims Analyst to manage follow-ups on unpaid and rejected claims for government, commercial, and workers' compensation payers. You will verify claim statuses via portals or insurer contacts, correct and resubmit as needed, and track outcomes with leadership.

The role is on-site in Bel Air, with typical hours Monday–Friday 8am–4pm. A full benefits package, PTO, holidays, and a 401(k) plan with company match after one year are

Qualifications

• Self-starter capable of multitasking to complete tasks.
• Strong organizational and written communication skills.
• Proficiency in MS Office (Word, Excel, Outlook).
• Excellent customer service and phone skills.
• Knowledge of ICD-10, CPT & HCPCS is a plus.
• Knowledge of Maryland and Mid-Atlantic insurance companies preferred.
• Good problem-solving and critical thinking skills.

Responsibilities

• Perform follow up of unpaid/rejected claims for government, commercial and WC payers.
• Check the status of submitted claims by contacting the insurance company or utilizing online provider portals.
• Correct rejected or unpaid claims and resubmit as needed, including rejected claims in clearinghouse application.
• Track and report claims worked to Lead Claims Specialist and/or Billing Manager.
• Submit appeals with supporting documentation when appropriate.
• Ensure submitted claims have been received and accepted by our clearinghouse and correct and resubmit any claims that are rejected.
• Communicate rejection trends and payer issues to Lead Claims Specialist and/or Billing Manager to ensure prompt action and remediation.
• Review medical records and claim forms prior to submission to ensure proper documentation and billing.
• Assist with charge entry as needed or in periods of high patient volume.
• Answer incoming billing calls regarding account questions.
• Collect and process patient payments for account balances.
• Other duties as assigned.

Skills

Multitasking

Organization

Communication

MS Office

Customer Service

ICD-10

CPT/HCPCS

Insurance terms

Maryland insurance knowledge

Tools

Provider portals

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Medical Claims Analyst

Bel Air, MD, US

3 days ago Requisition ID: 2696

Salary Range: $21.00 To $23.00 Hourly

Job Title: Medical Claims Analyst

Job Duties

• Perform follow up of unpaid/rejected claims for government, commercial and WC payers.
• Check the status of submitted claims by contacting the insurance company or utilizing online provider portals
• Correct rejected or unpaid claims and resubmit as needed, including rejected claims in clearinghouse application.
• Track and report claims worked to Lead Claims Specialist and/or Billing Manager.
• Submit appeals with supporting documentation when appropriate
• Ensure submitted claims have been received and accepted by our clearinghouse and correct and resubmit any claims that are rejected
• Communicate rejection trends and payer issues to Lead Claims Specialist and/or Billing Manager to ensure prompt action and remediation
• Review medical records and claim forms prior to submission to ensure proper documentation and billing
• Assist with charge entry as needed or in periods of high patient volume
• Answer incoming billing calls regarding account questions
• Collect and process patient payments for account balances
• Other duties as assigned.

Professional Requirements

• Self-starter with ability to multitask and work effectively to complete assigned tasks
• Strong organizational and written communication skills
• Proficiency in MS Office including Word, Excel & Outlook
• Excellent customer service and phone skills
• Knowledge of ICD-10, CPT & HCPCS coding a plus
• Broad knowledge and understanding of insurance terms including co-pay, coinsurance, deductible, allowable amounts, etc., preferred
• Knowledge of Maryland and Mid-Atlantic Insurance companies preferred.
• Good problem-solving and critical thinking skills

Other

• Location: Bel Air office
• Hours: M-F 8am-4:00pm (1/2 hour lunch)

We offer a full benefits package including PTO, SSL and 7 paid holidays. Eligible for health, dental and vision (single and family) the first of the month following 30 days of full-time work. 401(k) plan with match available after 1 year. We offer exciting opportunities for growth.

Position is on site in Bel Air, MD 5 days per week. No relocation assistance will be provided.