Healthcare Collections Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Accountable for managing the processing of medical insurance claim overpayments.

• Handle recoveries, adjustments, offsets, and perform collection activities.

• Assess overpayments in accordance with policy guidelines and claim coding specifics.

• Maintain a repository of instructions for validating audit concepts, client regulations, and system processing guidelines.

• Aid in identifying enhancements for processes and audit concepts.

• Execute administrative tasks such as data entry, tracking, and correspondence.

• Make outbound calls to professionally request payment recoveries.

• Collaborate with internal teams to address discrepancies or inquiries.

• Examine claims for any missing or incomplete information, compute payments, or confirm overpayments.

• Oversee accounts receivable and communicate with providers regarding payments.

⛳️ Requirements

• At least one (1) year of experience in administrative support or data entry.

• High school diploma is required.

• One (1) year of experience in a healthcare claims operations setting (preferred).

• A college degree in a relevant field is preferred.

• Exceptional communication skills, both verbal and written.

• Proficient in MS Office applications (Word, Excel, PowerPoint).

• Strong organizational and time management abilities.

• Capability to thrive in a fast-paced environment and adapt to multiple priorities.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and career advancement.

• Collaborative and supportive work environment.