Claims Analyst III
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Job Summary
To support a growing team, the full-time salaried Claims Analyst III will identify, analyze, and recover claim overpayments for clients in the healthcare sector while working remotely.
Key responsibilities
- Assist clients in identifying, validating, and recovering claim overpayments
- Review and resolve disputed overpayments and ensure the accuracy of claims algorithms
- Analyze medical and pharmacy claims data to identify trends and new overpayment opportunities
Required qualifications
- Bachelor's degree in accounting, business, healthcare, or a related field
- Equivalent work experience in a similar position may be substituted for educational requirement
- Experience in identification, auditing, and recovery of claim overpayments
- Strong understanding of calculations and medical terminology
- Excellent computer skills and proficiency in Excel
Complete Job Description
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