Claims Analyst (Full Time)

Lake Charles Memorial HospitalLake Charles, LA
Onsite

About The Position

Claims Analyst analyzes and reviews insurance claims for accuracy and completeness to be submitted to the payer. Also maintains open communication with various departments within the facility.

Requirements

  • High school graduate or GED certificate.
  • Adequate keyboarding and basic computer skills.
  • Strong organizational and communication skills.
  • Assertiveness with positive attitude and being proactive.

Nice To Haves

  • At least one year experience in Healthcare or related field.

Responsibilities

  • Consistently monitors assignment to ensure that all steps necessary to assist the Team with achieving its goals have been taken.
  • Documents all information in the System following the Clear Concise Consistent method.
  • Appropriately prioritizes work queue in order to work highest priority first based on assigned subjects.
  • Properly utilizes productivity tracking mechanisms.
  • Works at or above the weekly set productivity standard and completes tasks in a timely manner.
  • Accurately analyzes, corrects and releases assigned claims daily.
  • Follows the appropriate process for notification to the responsible area.
  • Works with other departments to resolve any outstanding billing deficiencies.
  • Consistently analyzes and communicates with leadership and responsible areas on held claims to ensure that all claims are released timely.
  • Maintains assigned task by ensuring that the task is completed timely.
  • Ability to evaluate a difficult billing problem and find the resolution.

Benefits

  • Organizational culture that supports exceptional patient care.
  • Commitment to the well-being and professional growth of employees.
  • Team where contributions are valued, growth is nurtured, and success is celebrated.
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