Claims Analyst

Physicians Mutual
Omaha, NE
Full-time

Physicians Mutual is hiring for a full time Claims Analyst to review and analyze multiple source claim documents and correspondence to determine proper processing.

What you will do in this role :

  • Identify and analyze claim information by reading and interpreting written and coded correspondence using specific knowledge of and experience with code identification, medical terminology and state regulations / laws.
  • Analyze correspondence and converts medical diagnoses and surgical procedures to computer compatible codes.
  • Research master claim records, claim history records, available manuals and reference books to clarify conflicting or missing information.

Job Qualifications :

  • High school diploma or equivalent is required.
  • One-year experience in an office setting demonstrating strong PC skills is preferred.
  • Strong knowledge of medical terminology and general knowledge of health insurance products.
  • Strong decision-making skills with the ability to work independently.
  • Reading and attention to detail.
  • Ability to follow written and verbal instructions.
  • Basic math skills required.
  • 30+ days ago
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