Medical Claims Analyst

A company is looking for a Medical Claims Analyst.

Key Responsibilities

Review medical claim information for completeness and accuracy, with a focus on Stop-Loss claims

Utilize medical terminology and billing codes to identify and resolve issues in claims

Verify eligibility and adhere to company policies and timelines

Required Qualifications

3 years of experience in medical claims analysis

Experience with Stop-Loss claims is preferred

High school diploma or equivalent

Ability to work remotely with reliable internet access

Must pass a criminal background check