Remote Senior Medical Claims Recovery and Resolution Analyst

Job is Expired

Location: Arizona, Connecticut, Florida, Minnesota, Texas

Compensation: Hourly

Staff Reviewed: Wed, Jun 16, 2021

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A global healthcare company needs applicants for an opening for a Remote Senior Medical Claims Recovery and Resolution Analyst.

Candidates will be responsible for the following:

  • Working with a team on researching issues to determine feasibility of reducing medical costs through prospective solutions of claim system processes and claim business rules
  • Investigating all types of claims for health plans and commercial customers
  • Conducting contestable investigations to review medical history

Qualifications for this position include:

  • High school diploma / GED (or higher)
  • Active Coding Certification (any of the following: CPC, CPC-H, CPC-P, CCA, CCS, CCS-P, RHIT, or RHIA), or an RN/LPN with an active license
  • 2+ years of professional provider based medical coding experience
  • 2+ years of experience with claims auditing and researching claims information
  • 1+ years of experience analyzing data and identify cost saving opportunities
  • Experience working with medical claims platforms

COMPLETE JOB DESCRIPTION

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