Claims Analyst I

Job Description

Healthcare Legal Solutions LLC is currently seeking an experienced Healthcare Claims Analyst to join our team in Washington DC.

About Us:

Healthcare Legal Solutions, LLC, is a healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems. We are a small, fast-growing firm with lots of opportunities for new employees to prove themselves and a great team culture.

Job Summary:

This is a valuable experience to gain hands-on experience within a boutique law firm specializing in healthcare law. Claims analysts will assist with following up on administrative appeals and documentation submitted to health insurers and governmental payers. We are seeking candidates who will work well with attorneys and paralegals, as well as maintain the workload, work under pressure, and be a team player. Our office environment is young, positive, and social, and we hope that claims analysts will contribute to this dynamic.

Compensation: $45,00 salary+

Duties and Responsibilities:

Core duties and responsibilities include the following. Other duties may be assigned by management.

Work within the client’s Patient Accounting system, payer portals and/or websites, and will utilize proprietary software to research accounts in the work queue

Determine action required to resolve the underpayment and initiate that action, including submitting appeals and reconsideration requests.

Utilize increased knowledge of the industry, hospital revenue cycle, and payers/insurance companies to document the account and provide information and details to support paralegal’s/attorney’s pursuit for additional reimbursement

Quickly and efficiently prepare, review, and submit well-written claims correspondence and related documents to insurers

Be skilled, aggressive, cordial, and professional on the telephone to follow up on submitted appeals.

Education and Experience:

BA/BS with a GPA of 3.0 or higher

Interest in healthcare and healthcare law.

Navigate through various computer systems and applications to find information about insurance claims

Ability to prioritize and multi-task

Excellent written and verbal communication skills

Proficiency in Microsoft Office, including Word and Excel

Excellent organizational and time management skills

High attention to detail

Clear, concise, and logical writing style

We are an Equal Opportunity Employer!