Insurance Claims Analyst – Full Time (Benefit Eligible)

Primary Objective:  

Maintain accounts receivable at Insurance Department standards and monitor reimbursement from payers to ensure accurate payment levels.


  • Maintain accounts receivable of greater than 120 days at 7% or below.
  • Process insurance correspondence on a daily basis.
  • Perform necessary follow-up to resolve unpaid/rejected claims.
  • Submit appeals on denied claims when appropriate.
  • Monitor accounts receivable age.
  • Examine insurance claims and EOB’s for accuracy.
  • Research and correct rejected claims with clearing house.
  • Serve as liaison between CRL and assigned insurance company(ies).
  • Additional responsibilities as assigned by management.


  • Minimum one year experience in provider billing processing
  • Experience with and general knowledge of industry-standard forms and files, such as:  CMS 1500, EOB’s, EDI 835’s and 837’s, etc.
  • Basic CPT and ICD10 coding knowledge and familiarity with medical terminology.
  • Experience using EPIC and using Healthia (or other eligibility verification tools), is preferred.
  • Demonstrated ability to work well in a team-oriented environment.
  • Excellent communication and organizational skills, detail-oriented, and ability to learn quickly.
  • Typing skills of 40 wpm accurately.
  • General math skills.