Claims Analyst

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.

Essential tasks will include: claim submission; claim re-submission when necessary due to edits and/or rejected claims; and completing the necessary research to correct rejected claims. The claims analyst works to ensure that claims are billed efficiently and accurately to promote timely reimbursement and management of Salem Township Hospital’s accounts receivable.

QUALIFICATIONS

EDUCATION: High School graduate or equivalent, with courses in accounting or business and English preferred.

TRAINING AND EXPERIENCE: General understanding of accounting principles desired. Must be efficient, productive, and fast moving. Must be able to make impactful decisions efficiently based on insurance and revenue cycle guidelines. Must have outstanding organization and computer skills. Must be 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.

JOB KNOWLEDGE: 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.