Lake Charles Memorial Health System · 1 day ago
Claims Escalation Analyst (Full Time)
Lake Charles, LA
Full-time
Onsite
Entry Level
1+ years expLake Charles Memorial Health System is committed to exceptional patient care and the professional growth of its employees. The Claims Escalation Analyst will manage and investigate escalated claims, ensuring timely resolution while utilizing strong analytical and communication skills.
Health Care
Responsibilities
Analyze and interpret policy language, contracts and statutes
Maintain accurate records of all claims and ensuring timely resolution
Understands assigned payer’s allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments
Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, deductibles & coinsurance assignments
Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate
Works with other departments to resolve any outstanding issues delaying claims processing
Communicates effectively with assigned payer and makes appropriate decisions to escalate and push claims with carriers, companies and other departments
Accurately evaluates each account in order to determine what is needed, what is left outstanding and what steps are necessary to resolve the account quickly
Properly utilizes productivity tracking mechanisms
Works at or above the weekly set productivity standard and completes tasks in a timely manner
Appropriately prioritizes work queue in order to work highest priority first based on assigned subjects
Documents all information in the System following the Clear Concise Consistent method
Consistently monitors assignment to ensure that all steps necessary to assist the Team with achieving its goals have been taken
Able to write clearly and informatively
Qualification
Required
High school graduate or GED certificate, required
Proficient in Microsoft Office suite
Analytical and problem-solving skills
Excellent communication and interpersonal skills
Ability to work well in a team environment
Adequate keyboarding skills (40 words per minute typing rate); Basic computer skills
Work requires light duty lifting
Must be able to remain in a stationary position 50% of the time
Constantly operates a computer and other office machinery such as calculator, copy machine, and computer printer
Must be able to exchange accurate information with patient, family, peers and medical personnel
Preferred
Minimum of 1-year experience in Healthcare, preferably in the insurance industry
Strong organizational and communication skills, including ability to discuss medical issues
Negotiation skills including assertiveness and being proactive
Company
Lake Charles Memorial Health System
Charles Memorial Hospital is Southwest Louisianas largest and most advanced family-centered medical complex.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Steve Stanic
Chief Information Officer
Recent News
2025-10-11
Company data provided by crunchbase