Medical Claims Analyst: Drive Accurate Reimbursements

Washington-Regional-Medical-Center; Fayetteville (AR); On-site; USD 42,000 - 54,000; Full time

Job summary

Washington Regional Medical Center in Northwest Arkansas seeks an Insurance Claims Analyst to review, process, and analyze medical insurance claims for accuracy and compliance. You will verify patient information, check billing and coding for ICD-10 and CPT, and communicate with providers and internal departments to resolve issues.

The role requires strong analytical skills, attention to detail, and experience in hospital billing systems.

Qualifications

• High School diploma or GED required.
• 2+ years of billing/claims experience in hospital or clinic setting preferred.
• Basic knowledge of ICD-10 and CPT coding and MS-DRG coding methodology.

Responsibilities

• Analyze insurance claims for accuracy, completeness, and policy compliance.
• Verify patient information and check for billing/coding errors.
• Investigate and resolve discrepancies by communicating with providers and internal departments.
• Follow up on outstanding AR using provided worklists and payer portals.
• Ensure timely reimbursements and maintain detailed claims records and reports.
• Serve as liaison with providers, patients, and internal teams to resolve issues.

Skills

Healthcare billing

Claims analysis

MS Office

Medical terminology

ICD-10 coding

CPT coding

Education

High School diploma or GED

Tools

MS Office

Job description

Washington Regional Medical Center in Northwest Arkansas seeks an Insurance Claims Analyst to review, process, and analyze medical insurance claims for accuracy and compliance. You will verify patient information, check billing and coding for ICD-10 and CPT, and communicate with providers and internal departments to resolve issues.

The role requires strong analytical skills, attention to detail, and experience in hospital billing systems.