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Job Description:
(30 days training in office in Louisville, KY then 100% virtual after)
- The Claims Analyst is responsible for reviewing, analyzing, and resolving insurance claims to ensure accurate and timely reimbursement.
- This role involves identifying trends in denials, researching payer requirements, and working closely with billing, collections, and appeals teams to reduce outstanding accounts receivable.
- The Claims Analyst will maintain detailed documentation, communicate with payers and internal stakeholders, and provide recommendations for process improvements to support compliance and efficiency in the revenue cycle.
Competencies:
- Microsoft Office – Word, Excel, Teams, Outlook
- In-depth knowledge of MCG, Interqual and ASAM Criteria
- Behavioral Health; IOP/PHP; CD
- Systems – Meditech, Medik, OnBase, Cerner
- RCM/Insurance reimbursement knowledge helpful
