Complex Claims Follow up Analyst – Lexington, MA

The Complex Claims Follow up Analyst working under the Complex Claims Manager is responsible for billing, review, follow up and collection of accounts for third party liability insurance payors, including Auto Insurance coverage, Worker’s Compensation and the Federal Government.

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Claims Follow up Analyst – Lexington, MA

The Claims Follow up Analyst is responsible for the in-depth follow-up of unpaid or denied workers compensation & motor vehicle claims. They will interact with applicable insurance carriers, attorneys, patients and employers with the ultimate goal of liquidating claims in a timely manner. Analysts utilize on-line tools, system strategies, as well as actively communicate over the phone or via email. Analysts will ensure that claims are being billed correctly and that insurance carriers have the necessary information to adjudicate. A healthcare revenue cycle background in medical billing or insurance claim processing is a must and should be comfortable on the phone speaking to carriers, attorneys, patients and employers.

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Claims Validation Specialist – Lexington, MA

The Claims Validation Specialist, a detail-oriented individual who will take full ownership of the position.  Candidates must possess outstanding organizational skills, ability to stay on task with minimal supervision and adapt in a constantly changing environment.

  • Manage both inbound and outbound calls efficiently and effectively by gathering claim information from patients, employers, insurers and others outside firms
  • Verify information, receipt of insurance claim and bill review packages
  • Manage workflow, processing, document specifications for our document management system
  • Review and correct any claim level system holds to prevent rejections
  • Complete all processing and sending of claim files
  • Navigate online systems to perform accurate and timely data entry
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