Medical - Claims Analyst


Warren, NJ

Industry: IT Consulting/Services


Not Specified years

Posted 286 days ago

  by    Cynet Sytems

This job is no longer available.

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.