Medical Claim Analyst
Northshore Home Health Care · Indiana, PA · Today
FinanceFull-time
About the role
The Medical Claim Analyst reviews provider coding and reimbursement denial disputes within the Provider Coding and Reimbursement team.
Responsibilities
- Analyze claims re-submissions
- Resolve or prepare claims for clinician review
- Research claims using ASD, ACAS/EWM, and ECHS systems
- Ensure compliance with claim processing guidelines
Requirements
- Extensive knowledge of the ACAS claims platform
- At least 1 year of ACAS claim processing experience
- Proficiency with systems like EWM, ASD, and Excel
- High school diploma or equivalent
Skills
- Strong communication
- Multitasking and prioritization
- Attention to detail
- Ability to work independently or in a team
Preferred Qualifications
- ACAS/EWM experience
- Claims processing background
- Solid analytical skills
Schedule
Full-time hours
Benefits
Comprehensive benefits package supporting colleagues' well-being.
Pay
Competitive pay.