Healthcare Reclamation Analyst

Job Summary

To recover funds for clients who have paid in error, the full-time Healthcare Reclamation Analyst will review client data and payer correspondence, investigate coverage eligibility, and communicate with healthcare insurance carriers, all while working remotely.

Key responsibilities

• Leverage knowledge in COB/TPL/Recovery to resolve discrepancies and determine proper order of benefits
• Communicate effectively with carriers to address eligibility questions and facilitate successful payments
• Analyze documentation and explanation of benefits to support internal teams and ensure compliance with regulations

Required qualifications

• Minimum 2 years of relevant experience in billing reclamation or a related role
• At least 12 months of collections or receivable experience with high production results
• Solid understanding of healthcare terminology, medical coding, and relevant processes
• Experience with Coordination of Benefits, Third Party Liability, and Accounts Receivable
• High School diploma or GED; relevant college courses or certification is a plus