Claims & Denials Analyst at USPI

Langhorne, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Jun, 26

Salary

0.0

Posted On

12 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Processing, Denials Management, Insurance Eligibility Verification, Accurate Coding, Billing Data, Private Insurers, Error Report Investigation, EMR Systems, Patient Billing Systems, Attention To Detail, Communication, Organization, Time Management, Healthcare Accounts Receivable, Microsoft Outlook, Microsoft Word

Industry

Description

Claims & Denials Analyst - full-time - in-office - Langhorne, PA - M-F, 8am to 4:30pm We’re a fast-growing, employee-friendly prosthetics and orthotics company seeking a Claims & Denials Analyst to join our dedicated team in Langhorne. This is a great opportunity for someone with a positive attitude, strong attention to detail, and some experience with health insurance claims—especially if you’re eager to learn and grow in a meaningful healthcare environment. Why You’ll Love Working With Us: * Supportive, team-oriented culture * Safe, clean, and friendly office environment * Opportunities for growth and on-the-job training * A chance to help patients receive life-changing care What You’ll Do: You’ll play a key role in making sure our patients' health insurance claims are submitted, processed, and resolved smoothly. Responsibilities include: * Preparing and reviewing patient documentation and claims * Verifying insurance eligibility and benefit coverage * Ensuring accurate coding and billing data * Submitting claims to private insurers and following up regularly * Investigating denials and working error/reject reports * Updating patient and insurance information in our systems * Collaborating with teammates to resolve billing issues quickly and correctly What We’re Looking For: We’re looking for someone who is: * Friendly, dependable, and eager to learn * A clear communicator with strong phone and computer skills * Computer-savvy, with experience using EMR or patient billing systems * Detail-oriented and organized * Able to work independently and manage priorities effectively * Comfortable handling sensitive information with professionalism Qualifications: * High school diploma or GED required * 2 years of college or equivalent work experience preferred * 2 years of recent experience in healthcare accounts receivable * Thorough knowledge of private insurance claims processes * Proficient in Microsoft Outlook, Word, and Excel * Experience with EMR and patient billing software strongly preferred Bonus Points If You: * Have some experience processing claims for respiratory DME * Have experience processing claims for orthotics and prosthetics * Enjoy solving puzzles and getting things “done right” * Bring a positive, team-first attitude every day We offer competitive pay, benefits, and a great place to grow your career. If you’re someone who takes pride in doing meaningful work and helping people access the care they need, we want to hear from you. This is a drug-free workplace. Employment is contingent upon a background check and drug screening.

Responsibilities

The analyst will ensure health insurance claims are submitted, processed, and resolved smoothly by preparing documentation, verifying coverage, and ensuring accurate coding and billing data. Key tasks include submitting claims to private insurers, investigating denials, and updating patient information in company systems.