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Claims Analyst Jobs in Baton Rouge, LA (NOW HIRING)

FMOLHS

Oncology Claims Analyst 2

Baton Rouge, LA · On-site

The Oncology Claims Specialist 2 will coordinate coding audits and educational functions for FMOLHS ... Continually analyzes reports/margin analyzers to communicate business performance to the ...

FMOLHS

Oncology Claims Analyst 1

Baton Rouge, LA · On-site

The Oncology Claims Analyst 1 will coordinate coding audits and educational functions for FMOLHS and the Oncology Service Line. This individual will be responsible for drug authorizations, managing ...

FMOLHS

Financial Analyst 2

Baton Rouge, LA · On-site

Experience with healthcare claims, payer remittance data, contract performance reporting, or revenue cycle analytics. * Familiarity with accounting standards, internal controls, audit support, and ...

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Claims Analyst information

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How much do claims analyst jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for claims analyst in Baton Rouge, LA is $21.49, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $24.71 per hour, depending on experience, location, and employer.

What are some common challenges a claims analyst faces when handling complex claims, and how are these typically addressed?

Claims Analysts often encounter complex cases that involve ambiguous documentation, multiple parties, or unusual policy details. Navigating these situations requires strong investigative skills, attention to detail, and effective communication with policyholders, healthcare providers, or other stakeholders. To address these challenges, Claims Analysts typically collaborate closely with senior team members, legal counsel, or specialized departments and use claims management software to track progress. Ongoing training and knowledge sharing within the team also play a key role in resolving complex claims efficiently.

What are the key skills and qualifications needed to thrive as a claims analyst, and why are they important?

To thrive as a Claims Analyst, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies, often supported by a relevant degree in finance, business, or a related field. Familiarity with claims management software, data analysis tools, and knowledge of regulatory compliance are typically required. Excellent communication, problem-solving skills, and the ability to manage time effectively help you stand out in this role. These skills ensure accurate claim evaluations, efficient processing, and high-quality service to both clients and the organization.

What is the difference between Claims Analyst vs Claims Processor?

AspectClaims AnalystClaims Processor
Required credentialsHigh school diploma or equivalent; sometimes certifications in insurance or claims processingHigh school diploma or equivalent; often basic insurance or claims processing training
Work environmentOffice setting, analyzing complex claims, collaborating with adjusters and underwritersOffice setting, reviewing and entering claim data, processing claims efficiently
Employer and industry usageInsurance companies, third-party administrators, healthcare providersInsurance companies, healthcare providers, government agencies

Claims Analysts focus on evaluating complex claims, analyzing data, and making decisions, while Claims Processors handle the day-to-day entry and processing of claims. Both roles are essential in the insurance industry, but Claims Analysts typically require more analytical skills and sometimes additional certifications.

Is being a claims analyst hard?

Claims analysts analyze insurance claims to determine coverage and payout amounts, which requires attention to detail, strong analytical skills, and knowledge of insurance policies. The job can involve repetitive tasks and working under deadlines, but it generally depends on the complexity of claims and the individual's experience. Proficiency with claims processing software and certifications can also influence job difficulty.

What does a claims analyst do?

A claims analyst reviews insurance claims to determine their validity and ensure they comply with policy terms. They analyze documentation, investigate discrepancies, and process claims efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.

What is the average salary for a claims analyst in the US?

The average salary for a claims analyst in the US is approximately $50,000 to $65,000 per year, depending on experience, location, and industry. Entry-level roles may start lower, while experienced analysts with certifications can earn higher salaries. Skills in data analysis and familiarity with claims processing software are often valued in this role.

What are the most commonly searched types of Claims Analyst jobs in Baton Rouge, LA?

The most popular types of Claims Analyst jobs in Baton Rouge, LA are:

What are popular job titles related to Claims Analyst jobs in Baton Rouge, LA?

For Claims Analyst jobs in Baton Rouge, LA, the most frequently searched job titles are:

What job categories do people searching Claims Analyst jobs in Baton Rouge, LA look for?

The top searched job categories for Claims Analyst jobs in Baton Rouge, LA are:

Claims Analyst jobs near you
Infographic showing various Claims Analyst job openings in Baton Rouge, LA as of August 2026, with employment types broken down into 88% Full Time, 7% Part Time, and 5% Contract. Highlights an 82% Physical, 7% Hybrid, and 11% Remote job distribution, with an average salary of $54,709 per year, or $26.3 per hour.

Oncology Claims Analyst 2

Franciscan Missionaries of Our Lady Health System

Baton Rouge, LA • On-site

Other

Posted 4 days ago

Franciscan Missionaries of Our Lady Health System rating

7.2

Company rating: 7.2 out of 10

Based on 38 frontline employees who took The Breakroom Quiz

346th of 898 rated healthcare providers

Job description


The Oncology Claims Specialist 2 will coordinate coding audits and educational functions for FMOLHS and the Oncology Service Line. This individual will be responsible for drug authorizations, managing and working the edit and denial coding work queues for inpatient, outpatient clinic, and hospital-based infusion departments and will provide coding and reimbursement feedback for education opportunities identified to the Service Line and FMOLHS.
Responsibilities
1. Coding/Program Management
  • Reviews and audits codes (CPT, ICD 10, HCPC, Level II, and modifier coding, etc) and is expert on prior authorization using FDA, National Comprehensive Cancer Network (NCCN), and American Society of Clinical Oncology (ASCO) for specialty practices like inpatient chemotherapy hospitalizations, outpatient oncology visits, hospital based outpatient infusion centers for both oncology and non-oncology patients.
  • Is consultant/expert for FMOLHS business office and external agencies in clarification of coding regarding reimbursement infusion issues, especially new FDA and new clinical pathways of National Comprehensive Cancer Network (NCCN). Manages data gathering and chart auditing as necessary for FMOLHS Revenue Cycle, LPG, and Oncology Service Line.
  • Works closely and consistently with major pharmaceutical companies on new drug treatment guidelines/pathways, drug replacement programs, and Southern Oncology Association of Practices (SOAP) to determine business best practices and clinical education opportunities for physicians/providers. Reports findings consistently to Director of Pharmacy and VP of Oncology Service Line.
  • Advises the executive team on best practices for drug purchase opportunities to ensure potential profitability is maximized while working with FMOLHS contract director to verify profitability of managed care contracts related to drug margins.
    Works with various national oncology specific institutions, like MD Anderson, Bone Marrow transplant centers, etc alongside physicians/payers directly whether clinical pathways/treatment regimens fall within proper coding/maximum reimbursement of clinical trials, off label, NCCN guideline, etc to manage proper clean claims and decrease likelihood of claim denial.
  • Works directly with business, administrative team, and physicians/providers to perform at least monthly education on chart audits, new treatment pathways, governmental payer requirements, and others.

2. Quality and Performance Improvement
  • Conducts high level audits for coding based on specialty service lines as a Coding and Reimbursement specialist. Assists Management with evaluation of processes to determine opportunities to improve the efficiency and quality of coding and maximum reimbursement avenues. Implements innovated ideas and process changes.
  • Conducts and organizes provider peer reviews, physician queries while supporting the education of pharmacy, registered nursing, physicians, mid-levels, administration, etc on coding and documentation needs.
  • Assist with quality measures needed for clinic and hospital based department success with national certifying bodies like Commission on Cancer (CoC), Quality Oncology Practice Initiative (QOPI), and PQRS. Ensures financial success as subject matter expert on NCCN guidelines/government payer requirements.

3. Analysis and Collaboration
  • Proactively researches and understands payer issues. Troubleshoots and resolves issues that impact revenue. Works collectively with FMOLHS denial management team to audit Medicare, Medicaid, and Insurance claims for accurate coding, charging, and modifier usage as requested by the FMOLHS. Considered expert for high dollar drug appeals across FMOLHS.
  • Considered expert for the Physician Group, Revenue Management Department, Pharmacy, and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission. Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities for performance improvement.
  • Continually analyzes reports/margin analyzers to communicate business performance to the administrative team, revenue cycle team, physician practice managers, and physicians to determine efficacy and suggests opportunities for improvement.
  • Acts as a liaison for Professional Billing and FMOLHS Central Billing Office Management assisting in any special requests/research for information/proper documentation to aid in billing processes especially high dollar denials/write offs/analysis.

Qualifications
Experience: Three years of medical revenue cycle experience
Education: Bachelor's degree or 5 years medical revenue cycle work and Certified Hematology and Oncology Coder (CHONC)

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About Franciscan Missionaries of Our Lady Health System

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The Franciscan Missionaries of Our Lady Health System is the leading health care innovator in Louisiana. We bring together outstanding clinicians, the most advanced technology and leading research to ensure that our patients receive the highest quality and safest care possible.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Baton Rouge, LA, US

Year founded

1911

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