Role OverviewInsurance Recovery Analysts are responsible for processing commercial, governmental, and third-party liability medical claims to ensure maximum recoveries in a timely and efficient manner.
What You Will Do
Investigate, negotiate, bill, and follow up for payment regarding first and third-party claims, identify viable payers, and maintain confidentiality in accordance with HIPAA requirements.
Why It Might Be a Fit
The ideal candidate will have strong technical knowledge in commercial insurance, government insurance, and claims processing systems, as well as excellent interpersonal and verbal/written communications skills.
Requirements
- Minimum of four (4) years of directly related industry experience
- Emdeon/ChangeHealthcare billing experience
- EPIC, CERNER, and/or MEDITECH experience
- Experience working claims in multiple states
- Strong technical knowledge in one or more areas of commercial insurance, government insurance, workmans compensation, motor vehicle liability, general liability, and claims processing systems
- Knowledge of medical and insurance terminology
- Knowledge of coordination of benefits
- Working knowledge of FACS (ClaimAssists host system) or comparable management software system
- Ability to speak confidently over the phone
- Basic knowledge of Microsoft Excel and Word
- Ability to provide quality customer service to all parties
- Ability to work in a fast-paced environment
- Demonstrated knowledge of state laws and insurance statutes
- Excellent interpersonal and verbal/written communications skills
- Highly motivated, self-starter, organized, and detail-oriented
- Ability to work well individually, as well as part of a team
- Coachable: receptive to feedback, willing to learn, embraces continuous improvement, and responsive to change
- Ability to maintain a predictable and consistent full-time work schedule
Benefits
- Dental insurance
- Vision insurance
- Health insurance
- Life insurance
- Disability insurance
- 401(k) or retirement plan
- Paid time off (vacation, sick leave)
- Paid holidays
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