Medical Claims Analyst

TEKsystems • Tampa, FL

11d • $25 - $30 • Hybrid

About The Position

Seeking a Medical Claims Analyst to join the IBNR team. This role focuses on supporting claim and billing processes, provider outreach, and refund resolution. The ideal candidate will have strong analytical skills, medical claims experience, and the ability to navigate complex systems while maintaining accuracy.

Requirements

• Strong analytical skills
• Medical claims experience
• Ability to navigate complex systems while maintaining accuracy

Responsibilities

• Contact providers, hospitals, and physician offices to obtain claim payments
• Review bill history in the system to confirm receipt and accuracy of claims.
• Handle refund requests, including overpayment analysis and reimbursement facilitation.
• Investigate discrepancies, and resolve appeals
• Create and maintain reports, pivot tables, and document research findings.
• Ensure timely receipt of bills (within 10 business days) and complete end-to-end follow-up processes.
• Manage approximately 600 open cases and respond to daily email inquiries.

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed