Claims Analyst

Cuyuna Regional Medical Center
life insurance, paid time off, 401(k)
United States, Minnesota, Crosby
320 East Main Street (Show on map)
Feb 20, 2025
Cuyuna Regional Medical Center * Business Office Crosby , MN Administrative Support Full Time , 8-hour Day Shift FTE: 1.0 FTE (80 hours per pay period) Weekend Requirements: No weekends Posted 02/20/2025 Req # 13815 This position is an internal posting for current CRMC employees to apply beginning at 8:00 am on 2/20 until 4:00 pm on 2/26 POSITION SUMMARY Claims Analyst general responsibilities include accurately billing patient accounts, ensuring timely clean claim submission and reimbursement from various third-party payers and patients. Ensuring proper account documentation in the facility's billing system. POSITION QUALIFICATIONS Education and Experience: High School diploma or GED. Successful completion of data entry, general clerical, ten key and claims analyst standards administered by Cuyuna Regional Medical Center Human Resources staff. License/Certificates: N/A Special Skills and Aptitudes: Ability to work independently Ability to perform routine and complex procedures Ability to recognize problems, identify the cause and implement solutions Effective interpersonal relationship skills including good listening and communication skills Ability to handle confidential information discreetly and appropriately Ability to adapt resources to meet the needs of the situation Adjusts to stressful situations with confidence and good judgment ESSENTIAL RESPONSIBILITIES Receives and interviews incoming patients/residents or representatives to obtain pertinent data Confirms insurance benefits, including copies of required documents Files or scans documents in an accurate manner Responsible, as assigned, to maintain and control a section of billed and unbilled patient accounts Responsible, as assigned, to review final bills for accuracy and clean claim submission Responsible, as assigned, to review and fix any claim edits or rejections Responsible, as assigned to do charge entry for correcting and/or adding charges Responsible, as assigned, to void and re-post charges when appropriate Responsible, as assigned, to understand and comprehend the billing rules for provider based billing, rural health billing and CAH Method II billing Responsible, as assigned, to prepare claims accurately to carriers and intermediaries in a timely manner Responsible, as assigned, to follow-up on unpaid and un-process billed claims, and re-bill in a timely manner if necessary Demonstrates efficiencies in working with the claims clearing house and any other third party resources needed to get the job done Responsible, as assigned, to handle billing questions in a polite and professional manner and log patient complaints Handles receipting of payments Corrects registration errors and sends for needed billing information May be required to work rotating shifts, weekends, and holidays. Ability to meet the scheduling needs of the department Demonstrate Standards of Excellence when other duties are assigned. Lead Responsibilities if applicable: Direct and check the work of others. Participate in the orientation and/or training of employees and provide feedback to management. Coordinate the workflow among employees within the work area. Provide technical or functional directions and support to employees. Inform management on operational needs of the department. Assist with the creation of work schedules. Approve requests for time off, schedule changes, or additional ours/overtime and determine sick call replacement, according to a jointly pre-approved process, in the absence of a supervisor or manager. Excellent Customer Service and communication skills are essential for the lead position. Analyze and monitor all assigned work queues, identify error trends and develop training resources to improve accuracy. Work closely with all Revenue Cycle staff to identify and create account accuracy improvement projects. Serve as a communication liaison between revenue cycle staff for problem accounts and efficiencies. The pay range for this role is $20.15 to $26.71. Benefits Flexible schedule Competitive wages Medical, Dental, Vision, & Life insurance options HSA option 401k contribution Paid Time Off Why Cuyuna Regional Medical Center? CRMC provides the highest quality patient care by hiring exceptional, qualified individuals and providing opportunities for growth and advancement. We are more than 1,000 employees working in a unique environment that brings together the best in patient care and innovative medical specialties. From our expansive surgery suites with leading edge technology to our resort inspired senior living spaces, from trauma to routine, obstetrics to hospice, we provide services across the continuum of care - all in Minnesota's beautiful Brainerd lakes country. For more information about our medical campus visit: http://www.cuyunamed.org. We offer a competitive compensation package, which includes exceptional benefits. Follow us: Site Description: Crosby a city of 3,000 residents is part of the Brainerd and Cuyuna Lakes Area in central Minnesota. It is a top 5 destination in the United States for mountain biking. Crosby is just 15 miles from Brainerd, MN and a two-hour drive from Minneapolis/St. Paul. The Brainerd Regional Airport, which is serviced daily by Delta Airlines, is located 11 miles from Crosby. CRMC is located within a two-hour radius of Alexandria, Duluth, and St. Cloud.