Job Summary

A healthcare company is searching for a person to fill their position for a Remote Overpayment Recovery Quality Assurance Analyst in Pittsburgh.

Core Responsibilities Include:

• Designing and maintaining reports, process flows, databases and related documentation
• Maintaining employee/insured confidentiality
• Participating in higher level review activities

Required Skills:

• High school and 5 years of claims processing
• Basic understanding of managed care delivery systems
• Experience in reimbursement mechanisms and clinical coding or 5 years claims processing experience
• Excellent analytical skills, familiarity with basic statistical analysis, and proficiency in utilizing PC
• Detail-oriented individual with excellent organizational skills
• High level of oral and written communication skills