Medicare Claims Analyst

Aerotek Professional Services is currently seeking 8 Claims Analysts to work in the downtown Baltimore area. The Claims Analyst is responsible for conducting the necessary research and coordination to ensure that all claims inquiries are handled and resolved in an efficient and effective manner. General Responsibilities -Maintain workflows for handling claims inquires from providers and members. -Conduct review of claim payment inquiries.  -Ensure that denied and underpaid claims are reprocessed in a timely manner.  -When necessary, ensure that payment with-hold is applied to the system for any overpayments.  -Manage the recovery process when system with-hold is not practical. -Analyze quality and assurance reports for possible claim recovery. -Analyze pending claim trends to determine any necessary refinement of business rules and workflows in order to improve the overall claims process. -Contribute to the development and maintenance of provider education tools relative to the CIP claims process. -Contribute to the development of claims analysis reports. -Perform other tasks as assigned by the Manager of Claims Operations.  Required Education and Experience -Bachelor degree preferred. -Minimum of 4 years of medical claims adjudication experience.  Required Knowledge, Skills, and Abilities -Proficiency with ICD9 and CPT Coding. Coding certification (CPC or CCS) preferred.  -Familiar with CMS/Medicare claims rules.  -Strong computer skills including MS Office and specifically MS Excel. -Familiarity with the Facets managed care system is a plus. -Documented history of attention to detail and accuracy.

Join Aerotek Professional Services. Our customized employment solutions and personalized approach give job seekers access to great opportunities with competitive salaries. Aerotek offers comprehensive benefits that can include medical, dental, optical, and optional 401k. Don't put your career in the hands of just anyone; put it in the hands of a specialist. Launch or rejuvenate your career today with Aerotek Professional Services! Allegis Group and its subsidiaries are equal opportunity employers.

Please refer to job code allegis-1994823 when responding to this ad.

Category:	Accounting/Banking/Finance/Insurance
	> Claims
Location:	Baltimore, MD
County:	Baltimore City County
ZIP Code:	21201
Pay Rate:	Open
Job Terms:	full time
Company:	Allegis Group
Phone:	email only please
Fax:	email only please