Job Summary
A health insurance company is in need of a Remote Medical Senior Recovery and Resolution Analyst.
Core Responsibilities Include:
- Reviewing and validating suspected claim overpayments of high complexity identified by various concept and selection criteria
- Developing a high level of knowledge on industry trends, policy changes, and plan-specific rules/nuances
- Learning, applying and maintaining cross-pollinated concepts, techniques, and methodologies
Must meet the following requirements for consideration:
- High School Diploma / GED or higher
- 2+ years of healthcare experience in the areas of payment integrity or healthcare coding, billing and reimbursement
- Advanced computer skills with Microsoft Word and Microsoft Excel
