Claims Analyst

Full Time
Eden Prairie, MN 55344
From $22 an hour
Posted Just posted
Job description

Full-Time (Benefits Eligible)

Location: Eden Prairie, MN/Hybrid

Primary Objective:

Maintain accounts receivable at Insurance Department standards and monitor reimbursement from payers to ensure accurate payment levels.

Responsibilities:

  • Maintain accounts receivable of greater than 120 days at 7% or below.
  • Process insurance correspondence on a daily basis.
  • Perform necessary follow-up to resolve unpaid/rejected claims.
  • Submit appeals on denied claims when appropriate.
  • Monitor accounts receivable age.
  • Examine insurance claims and EOB’s for accuracy.
  • Research and correct rejected claims with clearing house.
  • Serve as liaison between CRL and assigned insurance company(ies).
  • Additional responsibilities as assigned by management.

Qualifications:

  • Minimum one year experience in provider billing processing
  • Experience with and general knowledge of industry standard forms and files, such as: CMS 1500, EOB’s, EDI 835’s and 837’s, etc.
  • Basic CPT and ICD10 coding knowledge and familiarity with medical terminology.
  • Experience using EPIC and using Healthia (or other eligibility verification tools), preferred.
  • Demonstrated ability to work well in a team-oriented environment.
  • Excellent communication and organizational skills, detail-oriented, and ability to learn quickly.
  • Typing skills of 40 wpm accurately.
  • General math skills.

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Tuition reimbursement

Physical setting:

  • Office

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday
  • No weekends

Ability to commute/relocate:

  • Eden Prairie, MN 55344: Reliably commute or planning to relocate before starting work (Required)

Work Location: Hybrid remote in Eden Prairie, MN 55344

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