Senior Claims Analyst
Company: VirtualVocations
Location: Riverside
Posted on: February 4, 2025
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Job Description:
A company is looking for a Senior Claims Analyst to manage and
process healthcare claims efficiently.
Key Responsibilities
Review and analyze healthcare claims for accuracy, completeness,
and eligibility
Ensure claims are processed in accordance with company policies,
procedures, and regulatory requirements
Investigate and resolve denied or rejected claims while maintaining
organized records of claims and correspondence
Required Qualifications
Associate's or Bachelor's degree in Healthcare Administration,
Business, or a related field preferred
Minimum of 5 years of experience in healthcare claims processing or
a similar role
Strong knowledge of institutional claims processing, including
inpatient and outpatient claims
Experience in repricing and pricing claims based on provider
contracts and regulatory guidelines
Familiarity with medical terminology, claim coding (ICD, CPT,
HCPCS), and insurance billing practices
Keywords: VirtualVocations, Los Angeles , Senior Claims Analyst, Professions , Riverside, California
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