We are seeking a highly skilled Claims Analyst with expertise in Hospital Billing (HB), Claims, and Remittance (Remit) processes to join our team on a temp-to-perm basis. The successful candidate will play a critical role in ensuring accurate and timely claims processing, managing remittance workflows, and supporting the overall revenue cycle management. This role is remote and is ideally suited for a detail-oriented professional with relevant certifications in HB Administration, Claims, and Remits. Key Responsibilities: Claims Analysis and Processing: Analyze, review, and process claims with a focus on accuracy and compliance with payer guidelines. Ensure all claims are filed and resolved in a timely manner to optimize revenue. Remittance Management: Handle all remittance-related activities, including posting, reconciliation, and troubleshooting any discrepancies with payers. Denial Resolution: Identify, analyze, and resolve claim denials by collaborating with billing, coding, and payer representatives to maximize claim reimbursements. Compliance and Documentation: Ensure compliance with healthcare regulations and payer policies. Maintain accurate documentation of all claims activities and remittance processes. Communication and Support: Provide clear and effective communication with internal and external stakeholders regarding claim status, remit postings, and payment issues. Work collaboratively to support cross-functional teams within the revenue cycle department. Required Qualifications: Certifications: HB Administration, Claims, and Remits certifications required. Demonstrated experience in claims analysis, remittance processing, and revenue cycle management, specifically within hospital billing and claims. Proficiency with claims processing software and systems, along with strong skills in Microsoft Office Suite Ability to review and verify large volumes of claims data accurately. Intellect Resources
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