About the role

  • Medical Claims Research Analyst for Cranial Technologies handling insurance claims for pediatric treatments. Collaborating within a detail-oriented team to optimize claims resolution and payment processing.

Responsibilities

  • Follow-up on claims with insurance companies every two weeks, or as needed
  • Document all correspondence, payment remits and phone calls into system
  • Ensure insurance payments are correct according to patient benefits and contracts
  • Process and document electronic payments daily
  • Provide support to centers nationwide regarding patient claims and balances due
  • Communicate with patients in detail regarding payments, denials and appeal information
  • Provide spreadsheet with full detail of aged accounts.
  • Identify, track and report insurance payment/denial trends
  • Communicate with patients regarding unexpected balances
  • Research and resolve claims processing error and resolve processing issues

Requirements

  • High School Diploma or Equivalent
  • 1-2 years of customer service or related experience
  • Heath insurance experience preferred
  • High attention to detail
  • Investigative, curious and problem-solving mindset
  • Exceptional communication and human relations skills in working with people from diverse backgrounds
  • Strong organizational skills
  • Ability to multi-task
  • Professional image in appearance, words and actions

Benefits

  • Medical, Vision, and Dental Insurance
  • 401k Retirement Plan
  • 3.5 Weeks Paid Time Off plus 7 company-paid Holidays
  • Life Insurance
  • Short/Long Term Disability Insurance

Job title

Medical Claims Research Analyst

Job type

Experience level

Junior

Salary

$20 - $22 per hour

Degree requirement

High School Diploma

Location requirements

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