Job Description
Job Description
We are looking for a skilled Medical Claims Analyst to join our team in Baton Rouge, Louisiana. In this contract position with the potential for long-term employment, you'll play a key role in analyzing Medicare claims and resolving denials to ensure efficient revenue cycle operations. This role offers growth opportunities for professionals eager to showcase their expertise and contribute to organizational success.
Responsibilities:
• Analyze and manage Medicare claims and denials, ensuring accuracy and compliance.
• Provide support to staff by addressing questions related to claims and denial processes.
• Conduct thorough follow-up on denials, including contacting payers to identify reasons for rejection.
• Submit required documentation or medical records to facilitate claim resolution.
• Perform detailed research and gather information to resolve complex claim issues.
• Utilize the Medicare portal effectively to track and resolve claims.
• Maintain comprehensive documentation of claim activities and ensure timely follow-up.
• Collaborate with team members to improve processes and minimize claim denials.
• Minimum of 3–5 years of experience in medical claims and denials, with a strong focus on Medicare.
• Proficiency in using medical billing systems, with Epic EMR experience preferred.
• Familiarity with healthcare audits, including Medicare and Medicaid.
• Expertise in handling rejected claims and navigating claim denial processes.
• Strong communication skills and the ability to provide clear guidance to team members.
• Detail-oriented with excellent organizational and problem-solving abilities.
• Demonstrated ability to work independently and take initiative in resolving claim issues.