Claims Analyst

Job Description

Under the supervision of the Director of Business Services, the claims analyst is responsible for ensuring that claims are submitted and billed daily according to payer requirements, documented procedures, and contract stipulations.

Qualifications

High School graduate or equivalent, with courses in accounting or business and English, preferred.
A general understanding of accounting principles is desired.
Must be efficient, productive, and fast-moving.
Able to make impactful decisions efficiently based on insurance and revenue cycle guidelines.
Outstanding organization and computer skills.
Proficient in Microsoft software products including Word, Excel, and Outlook.
Ability to handle multiple tasks simultaneously, meet time-sensitive deadlines, and organize workload with general supervision.
Demonstrated ability to compose clear and accurate routine and non-routine correspondence.

Responsibilities

Maintains and keeps current with relevant hospital rules and regulations as well as all insurance billing requirements.
Must have independent judgment and decision-making abilities as well as analytical skills.
Demonstrates competency in working with computer software such as Athena, demonstrates competency in working conflicting claims, identifying system issues, and managing claim workload.
Claim submission; claim re-submission when necessary due to edits and/or rejected claims; and completing the necessary research to correct rejected claims.
Works to ensure that claims are billed efficiently and accurately to promote timely reimbursement and management of Salem Township Hospital’s accounts receivable.

Schedule

Full-time
8:00 am - 4:30 pm

Prevention is about staying healthy and preventing disease.

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