Denials Claims Analyst

Location: Boston Region
Category: Healthcare
Employment Type: Direct Hire
Contact: hccadbos@addisongroup.com

Denials Claims Analyst

Location: Randolph, MA

Job Responsibilities

  • The Denials Claims Analyst is responsible for working reports for multiple Revenue Cycle teams.
  • The Denials Claims Analyst will help to resolve account issues including whether there have been billing errors, under- or over-payment to accounts, etc.
  • The Denials Claims Analyst will collect on government Medicare, Medicaid, Worker's Compensation, and commercial insurance and patient outstanding balances.
  • The Denials Claims Analyst will help to run audits and identify payor/claim issues to be resolved.


Requirements
  • Medical Collector must possess 1+ years' experience performing full cycle medical insurance collections for multispecialty physician and hospital services
  • Experience collecting on government, Medicare, Medicaid, Worker's Compensation, and commercial insurance and patient balances
  • Medical Collector must have experience following up on claim status, resolving denials & rejections, re-billings, re-submitting claims, & filing appeals
  • Medical Collector must have experience managing accounts receivable and accounts payable
  • Medical Collector must have experience posting insurance and patient payments, cash applications, cash posting (nation of Benefits, EOB, EFT, lock box)
  • Medical Collector must have experience obtaining insurance verification, precertification, and authorization via phone and online insurance payer portals
  • Experience updating patient accounts with registration, insurance, demographic, scheduling, and billing data
  • Experience performing high volume in person and phone patient customer service in a fast paced environment
  • Medical Collector must possess a strong proficiency with Microsoft Office Suite (Word/Excel/Outlook/Power Point), payer portals, & electronic medical records (EMR) software
  • Ability to type 40+WPM required (alphanumeric & 10-key typing)


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