Healthcare Reclamation Analyst
Job Summary
Reviewing client data and payer correspondence, the full-time Healthcare Reclamation Analyst will investigate coverage eligibility, resolve primacy issues, and communicate effectively with healthcare insurance carriers to recover funds paid in error, all while working remotely.
Key responsibilities
- Leverage knowledge in COB/TPL/Recovery to analyze data and resolve discrepancies
- Communicate with insurance carriers to determine primacy and facilitate successful payments
- Gather and interpret Explanation of Benefits (EOB) to address questions and ensure proper account actions
Required qualifications
- Minimum 2 years of experience in billing reclamation or a related role
- At least 12 months of relevant collections/receivable experience with high production results
- High School diploma or GED; relevant college courses or certification is a plus
- Demonstrated knowledge of healthcare, medical terminology, and medical coding
- Proven ability to gather and interpret EOBs and resolve eligibility issues
Complete Job Description
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