Lake Charles Memorial Hospital
Lake Charles, LA
DESCRIPTION OF POSITION:
The Claims Escalation Analyst will be responsible for managing and investigating escalated claims and ensuring timely resolution. The successful candidate must have strong analytical and problem-solving skills, as well as excellent communication skills.
SUPERVISION: Reports directly to the Collection Supervisor
RESPONSIBILITIES AND DUTIES:
Analyze and interpret policy language, contracts and statutes
Maintain accurate records of all claims and ensuring timely resolution
Understands assigned payer’s allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments.
Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, deductibles & coinsurance assignments.
Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate.
Works with other...
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Healthcare IT
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