Insurance Analyst

July 09, 2020

JOB SUMMARY: The Insurance Analyst is responsible for researching and resolving outstanding medical claims and documenting their progress throughout the life of the claims until it can be re-filed. This position involves both customer service and medical billing/coding aspects. ESSENTIAL FUNCTIONS: • Research outstanding claim balances using online research via insurance company portals, and telephone calls to organizations regarding claims status. • Professionally communicate with insurance resources by website, e-mail, telephone, and customer service departments, etc. • Take initiative to utilize and apply industry knowledge to resolve outstanding claims • Accurately document progress of each claim throughout cycle • Reviews and works the claim denial report • Maintain confidentiality of all patient and clinic information • Performs other duties as assigned by supervisor QUALIFICATIONS: • High School diploma or equivalent. • At least one year experience in NextGen working insurance claims • Must have in-depth knowledge of Explanation of Benefits (EOBs) with at least 1 year of medical collections, claims or billing experience. • Must possess knowledge of insurance carrier billing and reimbursement as well as medical terminology. • Professional demeanor and attitude with good customer service skills • Strong analytical and problem-solving skills. • Ability to work independently while understanding the importance of teamwork • Basic Microsoft Office skills