Job is Expired
Location: Arizona, Connecticut, Florida, Minnesota, Texas
Compensation: Hourly
Staff Reviewed: Fri, Jun 18, 2021
Job Summary
A global healthcare company has an open position for a Remote Senior Recovery Resolution Analyst.
Must be able to:
- Gather and analyze data and information gathered to determine behavior and understand provider/scheme at issue
- Utilize appropriate documentation and tracking controls in the case tracking system to ensure compliance and auditability requirements are met
- Collaborate with clinical coding consultant to apply knowledge of coding guidelines to determine validity of aberrances
Qualifications Include:
- High School Diploma / GED (or higher) OR equivalent work experience
- 2+ years of experience within the health insurance claims industry
- 1+ years of knowledge and/or experience with medical/behavioral health codes and service delivery
- Intermediate proficiency in Microsoft Excel (pivot tables and macros) and Microsoft Word (creating, editing, and saving documents)
- Certified Professional Coder (CPC)
- Abiilty to gather all relevant facts to articulate behavior through an Investigation