Medical Claims Analyst

at  Robert Half

We are looking for a diligent Medical Claims Technician to join our team. The role is based in OKC, Oklahoma, United States, and offers a contract to hire employment opportunity. As a Medical Claims Technician, you will be involved in various responsibilities related to insurance claim processing and management within our finance department. Please note this role is 100% onsite in OKC, Oklahoma.

• Research and evaluate denied insurance claims, and resubmit them as necessary to ensure maximum accurate payment and reduce accounts receivable days.
• Communicate with office or clinical staff regarding coverage issues and denials when necessary.
• Maintain a high level of integrity and commitment to accurate claims processing.
• Use various computer programs and CMS platforms such as Allscripts and Cerner Technologies for efficient claims administration.
• Take on auditing and appeals tasks to ensure correct billing functions and benefit administration.
• Maintain an aged accounts receivable of less than 120 days.
• Attend staff meetings, workshops, and seminars to stay updated with agency policies, rules, regulations, and procedures.
• Use your analytical and problem-solving skills to work independently and collaboratively within a team environment.
• Perform other duties as assigned.
• Must possess a minimum of 2 years of experience as a Medical Claims Technician or in a similar role
• Proficiency in Allscripts, Cerner Technologies, and CMS Platform is necessary
• Knowledge of CL Programming and various computer programs is required
• Should have experience in appeals and auditing processes
• Familiarity with benefit functions and billing functions is a must
• Proficiency in claim administration is needed
• Ability to interpret and understand medical procedures and terminology
• Excellent analytical and problem-solving skills
• Strong communication and interpersonal skills
• High attention to detail and a high degree of accuracy
• Able to work independently and part of a team
• Bachelor’s degree in Health Administration, Business, or related field is preferred.
  Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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  All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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