Medical Claims Denials & AR Specialist

Insight Global; Red Bank (NJ); In loco; USD 52.000 - 66.000; Tempo pieno

Descrizione del lavoro

Insight Global’s client in Red Bank, NJ seeks a detail-oriented Claims Analyst to support a high-volume medical billing and revenue cycle team, focusing on insurance claim resolution, denials, AR follow-up, and collections across in-network and out-of-network claims.

The role requires reading EOBs, working with CPT/ICD codes, and collaborating with payers to ensure accurate documentation and timely payments. Ideal candidates have 2+ years in medical billing and a team-oriented approach.

Competenze

• 2+ years in medical billing, medical collections, AR follow-up, or denials experience.
• Strong ability to read and interpret EOBs for in-network and out-of-network claims.
• Working knowledge of insurance claim processing, payer follow-up, denials, adjustments, refunds, and AR.
• Experience with in-network and out-of-network medical claims.
• Familiarity with CPT/ICD codes and CMS-1500/HCFA and UB-04 forms.
• Ability to manage a high-volume claims queue balancing speed, accuracy, and documentation.
• Strong communication for payer follow-up and internal collaboration.

Mansioni

• Support insurance claim resolution, denials, AR follow-up, and collections across denials and claims.
• Communicate with payers and internal teams to ensure accurate documentation.
• Follow established processes and contribute to training and teamwork.

Conoscenze

Medical billing

AR follow-up

EOB interpretation

Denials handling

Communication skills

Strumenti

CMS-1500/HCFA

UB-04

EOB review

Payer follow-up

Descrizione del lavoro

Insight Global’s client in Red Bank, NJ seeks a detail-oriented Claims Analyst to support a high-volume medical billing and revenue cycle team, focusing on insurance claim resolution, denials, AR follow-up, and collections across in-network and out-of-network claims.

The role requires reading EOBs, working with CPT/ICD codes, and collaborating with payers to ensure accurate documentation and timely payments. Ideal candidates have 2+ years in medical billing and a team-oriented approach.