Medical Claims Analyst


Salary:

$17.10 to $19.80 per hour

Location:

WEST DES MOINES, IA

Date Posted:

May 2, 2019

Employment Type:

Temporary-to-full-time

Job Reference:

01502-0010952801

Staffing Area:

Temporary Accounting & Finance


Description
Accountemps is partnering with a West Des Moines company to find a Medical Claims Analyst. The ideal candidate will assist in activities related to the medical and psychosocial aspects of utilization and coordinated care.

Job Responsibilities: Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance such as verifying appointments obtaining lab results. Assess and monitor inpatient census. Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management CM assessment. Perform transition of care duties to include but not limited to contact the member?s attending physician member or medical power of attorney other medical providers home health agencies equipment vendors for information pertaining to special needs. Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material. Data enter assessments and authorizations into the system.
Requirements
Education/Experience

High school diploma or equivalent.
Thorough knowledge of customer service utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer.
Knowledge of medical terminology.
0-2 years of experience
Accountemps matches highly skilled professionals with accounting finance jobs at the best companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding finance or accounting job that is well matched to your professional skills – helping you to advance in your career. Our experience, combined with the resources of our worldwide network of offices, makes Accountemps a great resource for your career. We offer excellent opportunities to find temporary accounting and finance jobs for all experience levels. From accounting clerks and bookkeepers to accounts payable and staff accountants, we can provide you unparalleled access to exciting career opportunities. But don't take our word for it. Our company has appeared on Fortune® magazine’s list of “World's Most Admired Companies” since 1998, and 9 out of 10 of our customers would recommend our service to a colleague.

Contact your local Accountemps office at 888-490-3195 or visit www.accountemps.com to apply for this job now or find out more about other job opportunities.

All applicants applying for U.S. job openings must be authorized to work in the United States. All applicants applying for Canadian job openings must be authorized to work in Canada.

© 2019 Accountemps. An Equal Opportunity Employer M/F/Disability/Veterans

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West Des Moines, IA

801 Grand Ave.
Suite 2950
Des Moines, IA 50309
us
515.226.1700
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