Stop Loss Claims Analyst
A company is looking for a Stop Loss Claims Analyst. Key Responsibilities Process an average of 5 to 7 claims per day with a processing accuracy of 99% or better Determine eligibility of claims by applying contractual provisions to medical facts Document claim decisions and elevate issues to supervision as necessary Required Qualifications 3-5+ years of stop loss claims experience Prior experience with first dollar payer insurance (medical healthcare claims) Familiarity with medical billing practices, CPT codes, and revenue codes Ability to use mathematics for claim adjudication Demonstrated proficiency in Microsoft Office software
A company is looking for a Stop Loss Claims Analyst.
Key Responsibilities
Process an average of 5 to 7 claims per day with a processing accuracy of 99% or better
Determine eligibility of claims by applying contractual provisions to medical facts
Document claim decisions and elevate issues to supervision as necessary
Required Qualifications
3-5+ years of stop loss claims experience
Prior experience with first dollar payer insurance (medical healthcare claims)
Familiarity with medical billing practices, CPT codes, and revenue codes
Ability to use mathematics for claim adjudication
Demonstrated proficiency in Microsoft Office software
