Healthcare Billing Recovery Analyst
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Job Description
Healthcare Billing Recovery Analyst managing Provider portfolio, engaging in recovery calls and analyzing billing processes. Working to resolve billing issues for healthcare providers at Machinify.
Responsibilities:
- Engage in Outbound recovery calls, to Healthcare Carriers and Providers regarding improperly paid claims
- Decision Support- Ability to accurately review supporting documentation provided to Performant, by Providers/Carriers to determine accuracy of finding or overpayment allegation, for Complex appeals and disputes
- Maintain current knowledge in Medicare and Medicaid practices and regulatory issues that may affect clients
- Leverage knowledge and expertise to research Overpayments and provide information that will lead to successful resolution and payment
- Educate Healthcare providers/carriers on their obligation to pay
- Analyze and understand written communication from insurance companies
- Support internal groups or functions with billing and collections work
- Leverages existing excel skills to create Provider centric reporting on demand
- Efficiently work through assigned inventories to meet productivity metrics
- Update company systems with accurate information as applicable
- Arrives to work on-time and maintain regular attendance
- Follows and complies with company and departmental policies
Requirements:
- Bachelor’s degree in relevant field or equivalent combination of education and experience
- At least 3 years directly relevant professional working experience in a highly analytic or Recovery role
- Experience in Healthcare Billing and/or Coding is required
- Knowledge or experience with Healthcare, Coordination of benefits or Revenue cycle management
- Strong written and verbal communication skills
- Basic understanding of revenue cycle management or Medical recovery
- Strong knowledge and material experience with Healthcare, Medical terminology, Coding, Billing
- Must have the availability to communicate via phone with Providers and/or Carriers in a quiet space 5+ hours daily
Benefits:
- medical
- dental
- vision
- HSA/FSA options
- life insurance coverage
- 401(k) savings plans
- family/parental leave
- paid holidays
- paid time off annually
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