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TPSC is seeking an organized, detail oriented, Claims Analyst who is able to work well independently and collaboratively with our team. The Claims Analyst focuses on the accurate and timely resolution of both insurance and patient claims. This includes, but is not limited to revenue collection, denials and communicating with insurance carriers, including local and out of state plans, physicians, patients and management to achieve resolution of issues and expedite claims payment is vital in this position.

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Responsibilities

Responsible for the proper and timely processing of multi-specialty claims and payments from state/third-party, payers.
Proven ability to identify and analyze claim issues.
Continued monitoring and review of open Accounts Receivables, adjustments, refunds, and changes.
Promptly respond to denial letters and requests for information.
Maintain clear and cohesive notes/documentations/forms related to all open and pending claims being worked. Knowledge of medical terminology, CPT and ICD Coding and billing forms (HCFA).
Excellent verbal and written communication skills.
Excellent organizational and business office skills.
Ability to build and maintain strong relationships with insurance representatives.
Ability to work effectively with physicians and other medical staff.
Maintain patient and company confidentiality.
Other responsibilities as assigned.

Requirements

High School Diploma or equivalent
2 years’ experience in medical billing and collections
Working knowledge of Practice Plus and/or Nextech is a plus
Strong working knowledge of both In and Out of Network claims processing
Must be goal and detail-oriented and able to perform successfully in a fast-paced medical environment.
Job Type: Full-time

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Responsibilities

Requirements

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