Job Description
The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts. The role ensures accurate, timely resolution of outstanding claims through proactive follow-up and analytical problem-solving.
Responsibilities
- Follow up with payers via phone, email, fax, or payer portals to ensure timely resolution of outstanding claims.
- Meet and maintain daily productivity and quality standards.
- Use workflow systems, client host systems, and other tools to collect payments and resolve accounts.
- Adhere to all client and team policies and procedures.
- Maintain knowledge of timely filing deadlines for designated payers.
- Research payer-specific billing guidelines as needed.
- Analyze and resolve issues causing payer payment delays.
- Identify trends in claim issues to proactively reduce denials.
- Communicate identified issues and trends t...