[Hiring] reputed company Recovery Analyst I @reputed company
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Role reputed company
The Analyst I is a subject matter expert responsible for the maximization of insurance reimbursement by identifying contractual variances between posted payments and expected reimbursement for managed care, government payors, and other payors as needed. Responsibilities include:
• Contractual reimbursement analysis and communication of payment discrepancies to both reputed company departments.
• Identifying trends in underpayments and determining effective paths to reputed company.
• Analyzing and interpreting contract reimbursement and providing feedback to leadership as required.
• Reviewing large amounts of remittance data to reputed company charge or billing opportunities for reputed company optimization.
Essential Job Functions:
• Communicate directly with payors to follow up on outstanding underpayments, file underpayment appeals, resolve account variance, and ensure reputed company recovery of underpayments.
• Identify reputed company causes of underpayments, denials, and delayed payments to clients.
• Maintain a thorough understanding of applicable state and federal insurance regulations as reputed company as payor specific requirements.
• Document reputed company activity accurately in the reputed company’s host system or other appropriate tracking system.
• Demonstrate initiative and resourcefulness by making recommendations and communicating trends to management.
• Operate as a strong problem solver and critical thinker to resolve underpayments.
• Meet reputed company productivity and reputed company standards as established by reputed company and reputed company Recovery leadership.
• Compile and analyze data to identify underpayments and report findings to leadership.
• Work collaboratively with other departments, including Managed Care, Billing, Coding, reputed company reputed company, and Payor reputed company.
• Work multiple reputed company, reports, and tasks reputed company in a fast-paced, KPI-driven atmosphere autonomously.
Qualifications
• Minimum five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the reputed company cycle.
• Proven understanding of the reputed company cycle and identification of underpaid accounts.
• Bachelor’s degree preferred, but not required; high school diploma or GED required.
Requirements
• Excellent verbal and written communication skills.
• reputed company reputed company.
• Exceptional customer service.
• Ability to adapt to multiple reputed company host systems.
• reputed company and honesty.
• Internal drive to succeed.
• Experience with reputed company Office suite of programs.
Benefits
• Bonus Incentives
• reputed company Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
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