Claims Analyst

Required Skills & Experience

-2+ years of medical billing, medical collections, AR follow-up, or denials experience. -Strong ability to read and interpret EOBs; candidates should be comfortable walking through both in-network and out-of-network EOB examples. -Working knowledge of insurance claim processing, payer follow-up, claim denials, adjustments, refunds, and outstanding AR. -Experience working with in-network and out-of-network medical claims. -Familiarity with CPT codes, ICD codes, medical terminology, and common billing forms such as CMS-1500/HCFA and UB-04. -Ability to work a high-volume claims queue while balancing speed, accuracy, and quality of documentation. -Strong communication skills for payer follow-up, internal collaboration, and documentation. -Adaptable, team-oriented mindset with the ability to follow established processes and build on existing training.

Job Description

Job Description:

Insight Global’s client is seeking a detail-oriented Claims Analyst to support a growing plastic and reconstructive surgery practice in Red Bank, NJ. This individual will join a high-volume medical billing and revenue cycle team, focusing on insurance claim resolution, denials, AR follow-up, and collections across both in-network and out-of-network claims.