Medical - Claims Analyst

Confidential Company  •  Warren, NJ
Salary depends on experience
Posted on 03/03/18 by Cynet Sytems
Confidential Company
Warren, NJ
IT Consulting/Services
Salary depends on experience
Posted on 03/03/18 Cynet Sytems

We are looking for Medical ?Claims Analyst for our client in ??Warren NJ 

Job Title: Medical ?Claims Analyst

Job Location: ??Warren NJ 

Job Type: Contract ? 12 Months / Contract to Hire / Direct Hire

?US citizens and those authorized to work in the US are encouraged to apply. We are unable to sponsor H1b candidates at this time.?

Job Description:

Role Purpose: 

  • Processing medical claims and interpreting EOBs 

Principal Accountabilities: 

  • Primary responsibilities involve receiving medical claims from patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB and ultimately determining if the claim should be paid or rejected. 
  • Exceptional organizational skills are required 
  • To a lesser degree, the resource may provide initial support for customer requests via telephone, email, fax, or other available means of contact to the Support Center. 
  • Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary. 
  • Works under moderate supervision and typically reports to the Customer Service Supervisor. 

Minimum Education & Experience: 

  • HIPPA certified 
  • Experience in claim processing 
  • Ability to interpret Explanation of Benefits (EOB) 
  • Customer Service Experiencepreferred. 
  • Pharmacy Technician experiencepreferred. 

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