Claims Analyst

Job Description

Job Description

Our client in the healthcare space is looking for a Claims Analyst to join their team to help analyze and manage the healthcare claims to ensure accuracy and timely reimbursement. The Claims Analyst will review, process, and resolve claims issued while ensuring compliance with payer guidelines and company policies.

What Your Day-to-Day will look like :

• Identifies and investigates claim denials and rejections.
• Analyzes trends and patterns in claims data to identify potential issues or areas for improvement.
• Develops and implements strategies to resolve issues and reduce the rate of denials. Prepares and submits appeals as necessary.
• Generates reports to support decision-making and optimize the revenue cycle process.
• Works closely with billing, coding, and patient financial services teams to address and resolve claims-related issues.
• Facilitates communication between healthcare providers and payers.
• Ensures compliance with healthcare regulations, payer policies, and company procedures.
• Maintains accurate records of claims processing, including detailed notes on issues, resolutions, and follow-ups.
• Maintains detailed records of collection activities, payment arrangements, and correspondence.
• Monitors and manages assigned accounts, ensuring that all payments and adjustments are accurately recorded and applied.
• Follows up on outstanding patient accounts and insurance claims through phone calls, emails, and written correspondence.
• Performs other duties as assigned.
• Completes special projects as assigned.
• Stay up to date on changes in regulation and payer requirements

Experience You Bring :

Company Description

Hey there! I'm Ivy, your friendly neighborhood accounting and finance matchmaker covering the sun-kissed stretch from Palm Beach to Miami. With a dash of sales mojo and a sprinkle of recruiter finesse, I'm on a mission to make career connections so seamless, it feels like destiny.

I live for those "aha" moments when I find the perfect match between a stellar candidate and their dream job. Seriously, it's like watching a rom-com unfold, but with résumés and profiles instead of popcorn!

Work? Nah, this isn't work; it's more like playing Cupid for careers. And I'm all about making lifelong connections that feel more like family reunions than business transactions.

Key Skills :

Let's chat and see how we can turn your career dreams into sunny realities! ️✨

Specialties :

Company Description

Hey there! I'm Ivy, your friendly neighborhood accounting and finance matchmaker covering the sun-kissed stretch from Palm Beach to Miami. With a dash of sales mojo and a sprinkle of recruiter finesse, I'm on a mission to make career connections so seamless, it feels like destiny. I live for those "aha" moments when I find the perfect match between a stellar candidate and their dream job. Seriously, it's like watching a rom-com unfold, but with résumés and profiles instead of popcorn! Work? Nah, this isn't work; it's more like playing Cupid for careers. And I'm all about making lifelong connections that feel more like family reunions than business transactions. Key Skills : -Master of the accounting and finance recruitment universe. -Sales ninja turned talent whisperer. -Networking ninja with a knack for making friends everywhere I go. -The ultimate matchmaker, connecting top talent with top-notch opportunities. -Passionate about building relationships that stand the test of time. -Committed to keeping the fun alive in the world of recruitment. Let's chat and see how we can turn your career dreams into sunny realities! ️✨ Specialties : -Temporary / Consulting -Temp-to-Hire -Direct Hire -Project Solutions -Training -Finance and Accounting -Financial Services -Information Technology -General Office -Continuous Improvement