Medical Insurance Claims Analyst

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Medical Insurance Claims Analyst Washington Regional Medical Center is our region's only locally governed, community-owned, not-for-profit healthcare system. Our system includes a 425-bed acute care hospital located in the heart of Fayetteville supported by our clinic system - including primary, specialty and urgent care operations - that span across Northwest Arkansas into Harrison and Eureka Springs. Being heavily supported and invested in our community makes Washington Regional a unique employer, encouraging staff to give back to the community in which we live and work … and give back to each other.

Washington Regional Mission, Vision and Values prove to be a firm foundation and inspiration from which we fulfill our purpose. Mission: Washington Regional is committed to improving the health of people in communities we serve through compassionate, high quality care, prevention and wellness education. Vision: To be the leading healthcare system in Northwest Arkansas - the best place to receive care and the best place to give care. Values: To treat others - patients and their families, visitors, physicians, and each other - as we would want to be treated.

Position Summary Research and resolve insurance billing issues at the time of claims submission, receipt of denial or non contracted payment, and refund requests. Assigned to specific insurance(s) and providers/specialties but expected to learn on the job other insurances and specialties for career growth. Expected to interact daily with all stakeholders including but not limited to insurance companies, clinic and hospital personnel, and patients. Maintain current assigned insurance(s) guidelines, policies, and procedures related to payment of claims. Will be expected to communicate this information to various areas of the organization on a requested basis. Be able to learn disparate medical, billing, and insurance software systems to facilitate the collection of information to resolve billing issues. The majority of work time (up to 80%) is spent sitting with intermittent standing and walking of short distances. Work is performed in a standard office environment.

Licenses/Certifications Required N/A

Specific Educational and Skill Competencies Required Specific insurances or medical specialties require some level of experience. Most analyst positions do not require a minimum amount of experience. Good communication and analytical skills. Basic working knowledge of the MS Office suite of software, and the ability to operate standard office equipment. Broad knowledge of medical terminology, medical collections, and ICD-9 and CPT coding is preferred but not required. High School or GED