Claims Analyst

Insight Global's client is seeking a detail-oriented Claims Analyst to support a growing plastic and reconstructive surgery practice in Red Bank, NJ. This individual will join a high-volume medical billing and revenue cycle team, focusing on insurance claim resolution, denials, AR follow-up, and collections across both in-network and out-of-network claims. This person will be responsible for working outstanding insurance claims, troubleshooting denials, reviewing EOBs, following up with payers, and helping resolve aged receivables across both in-network and out-of-network claims. The ideal candidate has strong medical collections experience, understands how to read and interpret EOBs, and can confidently work claims from

Are you the right candidate for this opportunity Make sure to read the full description below.

Required Skills & Experience:

• 2+ years of medical billing, medical collections, AR follow-up, or denials experience.
• Strong ability to read and interpret EOBs; candidates should be comfortable walking through both in-network and out-of-network EOB examples.
• Working knowledge of insurance claim processing, payer follow-up, claim denials, adjustments, refunds, and outstanding AR.
• Experience working with in-network and out-of-network medical claims.
• Familiarity with CPT codes, ICD codes, medical terminology, and common billing forms such as CMS-1500/HCFA and UB-04. -Ability to work a high-volume claims queue while balancing speed, accuracy, and quality of documentation.
• Strong communication skills for payer follow-up, internal collaboration, and documentation.
• Adaptable, team-oriented mindset with the ability to follow established processes and build on existing training.

Nice to Have Skills & Experience:

• Experience supporting surgical, specialty, or high-volume healthcare billing environments.
• Experience with payer portals and EDI claim rejection workflows.
• Familiarity with TriZetto or similar clearinghouse systems.
• Experience working claims for major commercial payers such as Horizon, Aetna, Cigna, or similar carriers. xhyhwjd
• Out-of-network claims experience, especially with longer aging cycles or No Surprises Act-related follow-up

This role is paying up to $29/hr for the right candidate and can scale back to hybrid (3 days a week on site) after the first 90 days!