Medical Claims Coding Analyst
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Accentuate Staffing is currently recruiting for a highly organized and skilled Medical Claims Coding Analyst for a healthcare company in Morrisville, NC. This position is responsible for reviewing and monitoring adjudicated claims for file submission and upstream processing. The Medical Claims Coding Analyst will communicate with provider agencies on claims submission, denial management, and system updates. Additionally, this position serves as the primary communication point for providers experiencing an array of claims difficulties and will provide excellent customer service to provider agencies
Responsibilities:
- Review, monitor, and adjudicate claims.
- Review patient and provider account updates and re-adjudicate claims as appropriate.
- Manage phone queue for general calls.
- Communicate with provider agencies on claims submission, denial management, and system updates.
- Handle claims difficulties and provide excellent customer service to provider agencies.
- Ensure timely and accurate processing of claims and update providers on status as appropriate.
- Monitor and report on trends in claim adjudication and system issues.
- Follow up on outstanding claims and ensure they are processed in a timely manner.
Requirements:
- High School diploma or equivalent and two (2) years of related experience
- Bachelor’s degree in a related field and a minimum of one (1) year of related experience
- Bachelor’s degree preferred.
- Strong communication and customer service skills.
- Ability to work independently and manage multiple priorities.
- Excellent problem-solving skills.
- Ability to work well under pressure in a fast-paced environment.
- Strong computer skills, including proficiency with Microsoft Office.
- Knowledge of Medicaid and/or healthcare industry preferred.
