Claims Analyst

Ensuring timely processing of medical claims, the full-time Claims Analyst will verify and update claim information, determine reimbursement eligibility, and maintain compliance with company protocols while working remotely from anywhere in the United States. Key responsibilities Process first-time claims and apply policy and provider contract provisions to determine claim payability Research and determine the status of medical-related claims while maintaining accurate records and documentation Meet department production and quality standards and complete additional claims training programs as required Required qualifications High school diploma or equivalent 1 year of experience in the health insurance industry, claims processing, or related office services Proficiency in Microsoft Office applications, including Word and Excel Basic understanding of ICD-9/10, CPT, HCPCs, revenue codes, and medical terminology preferred Ability to complete basic claims training programs within 6 months of hire