Senior Claims Response Analyst

A company is looking for a Senior Claims Response Analyst, remote. Key Responsibilities Review and finalize claims reports requiring approval and respond to inquiries from Home Plans Investigate claim appeals and disputes, preparing comprehensive responses and identifying root causes of denials Communicate resolutions to stakeholders and address inquiries regarding claim status and coverage Required Qualifications Minimum 2-5 years of claims processing experience Knowledge of CPT and ICD coding Ability to read and understand benefit plan descriptions Intermediate to advanced understanding of Microsoft Office products Thorough understanding of claims processing compliance requirements

May 1, 2025 - 00:18
 0
Senior Claims Response Analyst
A company is looking for a Senior Claims Response Analyst, remote. Key Responsibilities Review and finalize claims reports requiring approval and respond to inquiries from Home Plans Investigate claim appeals and disputes, preparing comprehensive responses and identifying root causes of denials Communicate resolutions to stakeholders and address inquiries regarding claim status and coverage Required Qualifications Minimum 2-5 years of claims processing experience Knowledge of CPT and ICD coding Ability to read and understand benefit plan descriptions Intermediate to advanced understanding of Microsoft Office products Thorough understanding of claims processing compliance requirements