Remote Senior Provider Reimbursement Representative

Job ID: Available for Members

Location: Arizona, Connecticut, Florida, Minnesota, Texas

Compensation: To Be Discussed

Staff Reviewed: Thu, Sep 13, 2018

Job Category: Insurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company needs applicants for an opening for a Remote Senior Provider Reimbursement Representative.

Core Responsibilities Include:

  • Performing analysis of claims disputes received, to ensure proper application of financial risk and reimbursement policies
  • Reviewing claim disputes to determine root cause of errors and recommend contract changes, system changes, and/or training and process improvements
  • Documenting detailed root cause issues and recommending process improvements to prevent future cost share submission delays

Required Skills:

  • Bachelors degree or higher or High School Diploma / GED or higher
  • 2+ years experience in claims research, analysis and reporting and/or financial analysis and reporting
  • Intermediate level of proficiency with PC based software programs and automated database management systems
  • Intermediate level of proficiency with Microsoft Word