Health and Dental Claims Analyst

Job title:

Health and Dental Claims Analyst

Company:

Info Resume Edge

Job description

The Health and Dental Claims Analyst is responsible for reviewing, analyzing, and processing health and dental insurance claims. The role ensures that claims are adjudicated accurately and in accordance with policy provisions, guidelines, and regulatory requirements. The ideal candidate will have strong analytical skills, attention to detail, and knowledge of health and dental benefit plansInfoResumeEdge is the first platform that is completely free for both recruiters and job seekers. By creating a profile, you gain global visibility, which significantly boosts your chances of instant hiringwhether for remote or onsite roles. We encourage professionals to build their profiles today and connect with top opportunities worldwide.Key Responsibilities:Review and analyze incoming health and dental claims for accuracy and eligibility.Ensure claims comply with policy coverage, terms, and regulatory standards.Investigate and resolve discrepancies or inconsistencies in submitted claims.Apply appropriate fee schedules, adjudication rules, and coding practices (ICD, CPT, ADA codes).Communicate with healthcare providers, policyholders, and internal departments for additional information as needed.Process approvals or denials in the claims management system.Maintain proper documentation and audit trail of claims decisions.Monitor and report trends or issues related to claims processing.Stay updated with changes in insurance policies, coding, and compliance regulations.Support audits, compliance checks, and quality assurance reviews.Qualifications:Bachelors degree in Healthcare Administration, Business, or a related field (preferred).13 years of experience in claims processing, health insurance, or dental benefits.Knowledge of ICD-10, CPT, ADA codes, and healthcare reimbursement systems.Familiarity with healthcare regulations such as HIPAA.Proficient with claims adjudication systems and Microsoft Office tools.Strong attention to detail, analytical and organizational skills.Excellent written and verbal communication skills.

Expected salary

Location

London

Job date

Thu, 05 Jun 2025 22:01:17 GMT

To help us track our recruitment effort, please indicate in your email/cover letter where (vacanciesin.eu) you saw this job posting.

yonnetim

Published by
yonnetim

Recent Posts

Medical Secretary Grade IV – Dublin

Job title: Medical Secretary Grade IV - Dublin Company: Cpl Group Job description Outline of…

5 minutes ago

CDI – Responsable Stratégie Media et Innovation (F / H / X)

Location: NEUILLY SUR SEINE - France Salary: Competitive Type: Permanent Main Industry: Search Advertising, Marketing…

11 minutes ago

Senior Staff Engineer TCAD Concept Engineer IC Technology (f/m/div)

Job title: Senior Staff Engineer TCAD Concept Engineer IC Technology (f/m/div) Company: Infineon Job description…

19 minutes ago

Postdoctoral Scholar In Silico Formulation Design

Job title: Postdoctoral Scholar In Silico Formulation Design Company: Johnson & Johnson Job description At…

20 minutes ago

Waking Nights Support Worker

Job title: Waking Nights Support Worker Company: Achieve Together Job description Waking Nights Support WorkerLocation:…

33 minutes ago

TECNICO/A SERVICE – ITALIA

Job title: TECNICO/A SERVICE - ITALIA Company: Hofmann Services Job description Hofmann Staffing Solutions ricerca…

34 minutes ago
If you dont see Apply Button. Please use Non-Amp Version