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Claims AnalystVirtualVocations • Wichita, Kansas, United States
Claims Analyst

Claims Analyst

VirtualVocations • Wichita, Kansas, United States
11 days ago
Job type
  • Full-time
Job description
Ensuring timely processing of complex medical claims, the full-time remote Claims Analyst II will verify claim information, determine reimbursement eligibility, and resolve claims-related issues while maintaining departmental standards. Key responsibilities Process first-time claims with added complexity and apply policy provisions to determine claim payability Research and determine the status of medical-related claims and resolve adjustments, provider calls, and appeals Communicate with stakeholders to gather necessary information for successful claims processing Required qualifications High school diploma or equivalent required; Associate degree or equivalent experience preferred 2+ years of health insurance or claims-related experience required Intermediate PC and Microsoft Office skills; basic math proficiency required Medical coding knowledge (ICD 9/10, CPT, HCPCS) preferred Experience with Medicaid, Marketplace, or Medicare claims preferred
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Claims Analyst • Wichita, Kansas, United States

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