Medical Claims Analyst

Medical Claims Analyst

We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal for someone with extensive experience in medical claims processing and a strong ability to manage repetitive clerical tasks effectively. The role requires a collaborative team player who is dependable, punctual, and committed to delivering high-quality results.

Responsibilities

Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date.

Resubmit denied or rejected claims, following proper protocols to secure approvals.

Post payments accurately into multiple systems, maintaining consistency and precision.

Utilize payer portals to manage claims and track progress effectively.

Perform clerical tasks such as data entry and filing with a focus on accuracy and attention to detail.

Collaborate with a team of professionals to ensure smooth workflows and timely completion of tasks.

Monitor claim statuses to identify and resolve discrepancies proactively.

Maintain compliance with relevant policies and regulations in the healthcare industry.

Provide support in behavioral health payment posting processes.

Communicate effectively with team members and external parties regarding claim-related issues.

Requirements

Proven experience in medical claims processing and reconciliation.

Familiarity with payer portals and their functionalities.

Strong skills in handling claim denials and rejected claims.

Knowledge of medical billing procedures and practices.

Ability to manage unemployment claims efficiently.

Excellent organizational and time-management skills.

Dependable and punctual with a team-oriented mindset.

Proficiency in payment posting across multiple systems.