Job Summary

A healthcare company has a current position open for a Telecommute Medical Claims Recovery Specialist.

Candidates will be responsible for the following:

• Researching local billing and reimbursement policies, client reimbursement practices
• Applying knowledge of provider billing and patient accounting practices to research of client policy and data
• Participating in the review of health insurance claims and member eligibility information

Required Skills:

• May be required to travel at least 20% of time based on business needs
• High school diploma or GED
• 4+ years of healthcare reimbursement experience such as provider contract development, healthcare claims analysis, medical billing/coding, patient accounting, claims auditing, and/or revenue cycle improvement
• Must have demonstrated experience and knowledge of healthcare claims processing
• Experience applying published healthcare guidelines such as CMS regulations and coding guidelines to healthcare claims data