Claims Analyst

Required Skills & Experience: 2+ years of medical billing, medical collections, AR follow-up, or denials experience. Strong ability to read and interpret EOBs; candidates should be comfortable walking through both in-network and out-of-network EOB examples. Working knowledge of insurance claim processing, payer follow-up, claim denials, adjustments, refunds, and outstanding AR.Experience working with in-network and out-of-network medical claims. Familiarity with CPT codes, ICD codes, medical terminology, and common billing forms such as CMS-1500/HCFA and UB-04. -Ability to work a high-volume claims queue while balancing speed, accuracy, and quality of documentation. Strong communication skills for payer follow-up, internal collaboration, and documentation. Adaptable, team-oriented mindset with the ability to follow established processes and build on existing training.

Skills & Experience: Experience supporting surgical, specialty, or high-volume healthcare billing environments. Experience with payer portals and EDI claim rejection workflows. Familiarity with Tri Zetto or similar clearinghouse systems. Experience working claims for major commercial payers such as Horizon, Aetna, Cigna, or similar carriers. Out-of-network claims experience, especially with longer aging cycles or No Surprises Act-related follow-up This role is paying up to $29/hr for the right candidate and can scale back to hybrid (3 days a week on site) after the first 90 days!