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Medical Claims Analyst (MCA) is responsible for the intake processing and triage of all initial claim documents. This includes but is not limited to referral processing, obtaining required documents, medical records sorting and processing, to make ready for Forensic Review. Additionally, the MCA is responsible for reviewing, analyzing, documenting, and creating Prescreens and Forensic Review Reports within time and quality assurance standards as well as applying pay calculations as required. QUALIFICATIONS Education and Certifications Bachelor’s Degree preferred, or equivalent work experience Familiar with medical bill coding; certifications helpful Experience 2+ years of administrative experience Familiarity with medical terminology, coding and UB-04 claims forms preferred Experience within the healthcare, hospital or insurance markets preferred Customer service experience preferred Skills Advanced computer skills, including Word, Excel and data entry Very strong attention to detail applied to assigned tasks Strong arithmetical skills (e.g. percentages, multiple-step calculations) Detail-orientated approach to work; focus on quality Ability to prioritize, organize, multi-task, and work independently Ability to apply reasoning and logic to solve unfamiliar problems with little direction Team player demonstrating enthusiasm and commitment to company vision and mission Flexibility to adapt to a dynamic, evolving work environment Self-Starter, ability to multi-task and work with little direction Must have excellent written and verbal communication skills Ability to apply critical thinking skills and problem solving required