Medical Claims Analyst ExpressCare Urgent Care Baltimore
Overview
Own end to end processing of unpaid and rejected claims for government commercial and workers compensation payers. Monitor claim status through insurer portals and provider systems. Resolve rejections and resubmit through clearinghouse. Report daily claim activity to Claims Specialist. Analyze rejection patterns and communicate findings to leadership. Ensure all submissions meet payer requirements. Handle patient payment collections and answer billing inquiries. Work in a fast paced environment at our Bel Air location.
What You'll Do9
- 1Build automated workflows to track claim status using portal integrations
- 2Design processes to identify and correct claim errors before resubmission
- 3Lead daily claim resolution efforts with measurable outcomes within ninety days
- 4Analyze rejection trends and present recommendations to billing management
- 5Maintain accurate documentation by reviewing medical records and claim forms
- 6Assist with charge entry during peak volumes to maintain operational efficiency
- 7Respond to patient inquiries regarding claim status and payment questions
- 8Collaborate with clinical teams to resolve documentation discrepancies
- 9Implement quality checks to ensure compliance with payer guidelines
Requirements9
- 15+ years experience handling insurance claims with Spark and Airflow
- 2Strong analytical skills to interpret complex reimbursement rules
- 3Excellent communication abilities for both written and verbal interactions
- 4Proficiency in Microsoft Office suite for documentation and reporting
- 5Knowledge of ICD-10 CPT HCPCS codes and payer-specific requirements
- 6Familiarity with Maryland insurance regulations preferred
- 7Customer service orientation demonstrated through previous client interactions
- 8Problem solving mindset to address recurring claim issues
- 9Reliable time management demonstrated through consistent attendance record
Salary Insight
$44 - $48k per year
Location
Required Skills
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