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Claims Analyst

Posted: November 13, 2023
Salary:US$22 - US$23 per hour
Location:Hunt Valley
Job type: Permanent
Work Location:On-site

Job description

Medix Healthcare is hiring Claims Analysts for an Insurance Company in Hunt Valley, MD.

Schedule: Mon-Fri 9am-5pm

Pay: $22-23/hr

* Claims processing for manually submitted claims, including all associated tasks and benefit eligibility
verification and determining the appropriate of such claims.
* New Group Setup.
* Plan Year Setup.
* Check printing and mailing.
* Per occurrence review and allocation.
* Facilitate internal and external audit requests.
* Enrollment maintenance.
* Letter creation, printing and mailing (denials, repayments, RX sub & per occurrence).
* Client setup and implementation for new groups and/or new products and services. Includes client
coordination, internal setup and carriers.
* Processing, entering and synchronizing participant enrollments.
* Updating contributions to CDH accounts to ensure proper funding.
* RX claims substantiation and related tasks such as claim identification, member communication and closing
of said claims.
* Update and maintain member information across all systems and databases.
* Reporting for internal and external users.
* Such other duties or tasks to assist the department of organization as the supervisor may deem necessary.

* Must be proficient in MS Word, Excel, and Outlook.
* Excellent verbal and written communication skills required.
* Ability to work mandatory overtime during busy periods.
* Ability to meet established carrier deadlines.
* Attention to detail and an "eye for accuracy".
* A professional appearance and telephone manner is essential.
* Must have a good command of the English language, oral, and written.
* Must be able to work in a fast-paced environment with demonstrated ability to handle multiple tasks.
* Ability to maintain confidentially
* Needs to be receptive to and accepting guidance from others
* Ability to deal with difficult people and problems
* Able to work well in a team environment
* Able to work in a diverse group of people
* Intermediate level of proficiency in Microsoft Office programs