Medical Claim Analyst
DayToDay Health · Maine, ME · Yesterday
Full-time
About the role
The Medical Claim Analyst reviews provider coding and reimbursement denial disputes within the Provider Coding and Reimbursement team.
Responsibilities
- Evaluating claims re-submissions
- Resolving or preparing claims for clinician review
- Researching claims using ASD, ACAS/EWM systems
- Documenting claim histories
Skills
- Extensive knowledge of the ACAS claims platform
- Claim rework and system functionality such as EWM, ASD, and ECHS
- Strong analytical, technical, and communication skills
- Ability to work independently and collaboratively
- Multitasking to meet workload demands
Qualifications
- High school diploma
- At least one year of ACAS claim processing experience
- Proficiency with Excel
Preferred qualifications
- ACAS/EWM experience
- Claims processing background
- Attention to detail
- Knowledge of benefits policies
Benefits
Offers a full-time position with competitive pay and comprehensive benefits supporting colleagues' well-being.