Job Summary
A global healthcare company is filling a position for a Remote Registered Nurse Senior Recovery Resolution Analyst.
Core Responsibilities Include:
- Participating in phone calls to providers, and regulatory agencies
- Acting as a subject matter expert to other coders
- Using pertinent data and facts to identify and solve a range of problems within area of expertise
Applicants must meet the following qualifications:
- High School Diploma / GED (or higher)
- Experience working with medical claims platforms
- 2+ years of experience with claims auditing and researching claims information
- 1+ years of experience analyzing data and identify cost saving opportunities
- Knowledge of claims processing systems and guidelines/processes
- Experience in healthcare
