Remote Senior Recovery Resolution Analyst

Job is Expired

Location: Arizona, Connecticut, Florida, Minnesota, Texas

Compensation: Hourly

Staff Reviewed: Fri, Jun 18, 2021

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

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

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