Claims Analyst

September 2023
By Diane Boswell
Posted: Updated:
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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

Apply Online Now
Email Resume

Resumes may be mailed to:
Salem Township Hospital
Attn: Human Resources
1201 Ricker Drive
Salem, IL 62881

Applications are also available at the hospital.


Phone:
618-548-3194, ext. 8187


Benefits are available to full-time and part-time employees.
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