Medical Claims Analyst

Job Description

Job Description

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.
• 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.