We are seeking a talented Claims Analyst to join our team. You will be detail-oriented and analytical to help us manage and process healthcare claims efficiently.  You will be analyzing, processing, and resolving healthcare claims in accordance with company policies and regulatory requirements. You will have a strong understanding of healthcare claim processing, excellent analytical skills, and the ability to work independently to ensure timely and accurate claim adjudication.

How you will make an impact

• Review and analyze healthcare claims for accuracy, completeness, and eligibility.
• Ensure claims are processed in accordance with company policies, procedures, provider contracts and regulatory requirements.
• Verify patient and provider information and validate claim codes (ICD, CPT, HCPCS).
• Identify discrepancies and inconsistencies in claims and take appropriate corrective actions.
• Communicate with healthcare providers, patients, and insurance companies to resolve claim issues.
• Investigate and resolve denied or rejected claims.
• Accurately enter claim information into the claims management system.
• Maintain detailed and organized records of claims and related ...