Senior Healthcare Reclamation Analyst

Job Summary

To support healthcare clients, the full-time Senior Healthcare Reclamation Analyst will analyze client data and payer correspondence, investigate coverage eligibility, and manage complex claims issues while working remotely.

Key responsibilities

• Review and analyze large volumes of client data and payer correspondence to determine eligibility and resolve primacy issues
• Communicate with healthcare insurance carriers to address claim discrepancies and ensure successful payments
• Collaborate with internal teams to enhance workflows and contribute to the development of new client programs

Required qualifications

• High School diploma or GED; college education preferred, with related experience
• Minimum 4 years of experience in billing reclamation, recovery, or denial management
• At least 1 year of experience leading initiatives related to operations workflow or data analysis
• Strong knowledge of healthcare terminology and experience with Coordination of Benefits and Accounts Receivable
• Intermediate to advanced skills in Microsoft Excel for analyzing large data sets