Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Claim Recovery Analyst
Overall Purpose:
The main function is identifying and processing all overpayments/underpayments identified internally or through interface with third party recovery vendors for professional and/or facility claims in accordance with local, state, federal guidelines, health plan and provider contracts.
Education and Experience:
Knowledge, Skills and Abilities:
Essential Functions:
Pay range: $23.00-28.94/hr bonus opportunity rich benefits plan
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