Claims Analyst (Full Time)

Lake Charles Memorial Health System


Date: 2 days ago
City: Lake Charles, LA
Contract type: Full time
Description Of Position

  • Claims Analyst analyzes and reviews insurance claims for accuracy and completeness to be submitted to the payer. Also maintains open communication with various departments within the facility.

SUPERVISION: Reports directly to the Reimbursement Analyst

Responsibilities And Duties

  • Consistently monitors assignment to ensure that all steps necessary to assist the Team with achieving its goals have been taken.
  • Documents all information in the System following the Clear Concise Consistent method.
  • Appropriately prioritizes work queue in order to work highest priority first based on assigned subjects.
  • Properly utilizes productivity tracking mechanisms.
  • Works at or above the weekly set productivity standard and completes tasks in a timely manner.
  • Accurately analyzes, corrects and releases assigned claims daily.
  • Follows the appropriate process for notification to the responsible area.
  • Works with other departments to resolve any outstanding billing deficiencies.
  • Consistently analyzes and communicates with leadership and responsible areas on held claims to ensure that all claims are released timely.
  • Maintains assigned task by ensuring that the task is completed timely.
  • Ability to evaluate a difficult billing problem and find the resolution.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Education And Work Experience

  • High school graduate or GED certificate.
  • Prefer at least one year experience in Healthcare or related field.
  • Adequate keyboarding and basic computer skills.
  • Strong organizational and communication skills.
  • Assertiveness with positive attitude and being proactive.

Physical Demands/Work Environment

  • Must be able to remain in a stationary position at least 50% of the time.
  • Constantly operates a computer and other office machinery such as a calculator, copy machine, fax machine and computer printer.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

“Experience Memorial” is more than a slogan, it’s the care we provide our patients and it’s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.

Working at Lake Charles Memorial Health System | Great Place To Work

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