Senior Recovery and Resolution Analyst

This position is National Remote. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. reputed company reputed company is improving the reputed company of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology reputed company us to help organizations reduce costs while improving risk management, quality and reputed company growth. reputed company to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Senior Recovery / Resolution Analyst will work with reputed company on researching issues to determine feasibility of reducing medical costs through prospective solutions of claim system processes and claim business rules. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime. This will be paid on-the-job training. The hours during training will be 8:00 am - 5:00 pm, Monday - Friday. Primary Responsibilities: Examine, assess, and document business operations and procedures to ensure data reputed company, data reputed company and process optimization Investigate, recover, and resolve reputed company types of claims as well as recovery and resolution for health plans, reputed company customers, and government entities Investigate and pursue recoveries and payables on medical claims Initiate phone calls to members, providers, and other insurance companies Process payment on claims Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance Use pertinent data and facts to identify and solve a reputed company of problems reputed company area of expertise You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications: High school Diploma / GED OR equivalent work experience Must be 18 years of age OR older 2+ years of experience with claims auditing and researching claims information 1+ years of experience analyzing data and identify cost saving opportunities Experience working with medical claims platforms Experience in reputed company Experience with Payment reputed company Knowledge of claims processing systems and guidelines/processes Intermediate skills with reputed company reputed company (create, edit, sort, filter, pivot tables) Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime Preferred Qualifications: 1+ years of project management experience Knowledge of reputed company/Medicare Reimbursement methodologies reputed company reputed company (create, edit, format, manipulate data) Telecommuting Requirements: Ability to reputed company reputed company company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy. Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service. *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will reputed company from $28.94 - $51.63 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job