Claims & Denials Analyst
Required skills
- claims
- denials
- healthcare
- insurance
- billing
- accounts receivable
- EMR
- patient billing software
- Microsoft Outlook
- Microsoft Word
Nice to have
- DME
- respiratory
- orthotics
- prosthetics
Role summary
A fast-growing prosthetics and orthotics company in Langhorne, PA, is seeking a full-time, in-office Claims & Denials Analyst. The role involves managing health insurance claims, verifying eligibility, ensuring accurate coding and billing, submitting claims, investigating denials, and updating patient information. The ideal candidate has a high school diploma, 2 years of experience in healthcare accounts receivable, and thorough knowledge of private insurance claims processes. Proficiency in Microsoft Office and experience with EMR/patient billing systems are required or strongly preferred. This position offers a supportive culture, growth opportunities, and the chance to help patients access care.
- 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
- 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
- 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
- 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
- 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
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.
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