Claims & Denials Analyst

About the role

We’re a fast-growing, employee-friendly prosthetics and orthotics company seeking a Claims & Denials Analyst to join our dedicated team in Langhorne. This is a great opportunity for someone with a positive attitude, strong attention to detail, and some experience with health insurance claims—especially if you’re eager to learn and grow in a meaningful healthcare environment.

What You’ll Do

• Preparing and reviewing patient documentation and claims
• Verifying insurance eligibility and benefit coverage
• Ensuring accurate coding and billing data
• Submitting claims to private insurers and following up regularly
• Investigating denials and working error/reject reports
• Updating patient and insurance information in our systems
• Collaborating with teammates to resolve billing issues quickly and correctly

Qualifications

• A high school diploma or GED
• Two years of college or equivalent work experience preferred
• Two years of recent experience in healthcare accounts receivable
• Thorough knowledge of private insurance claims processes
• Proficient in Microsoft Outlook, Word, and Excel
• Experience with EMR and patient billing software strongly preferred

Bonus Points If You

• Have some experience processing claims for respiratory DME
• Have experience processing claims for orthotics and prosthetics
• Enjoy solving puzzles and getting things “done right”
• Bring a positive, team-first attitude every day