Claims Recovery Analyst I - Payer

business relationship.

• Train and assist new analysts as needed while maintaining high quality and production results.
• Experience in identification, analysis, and recovery of claim overpayments
• Bachelor’s degree in accounting, business, healthcare, or a related field
• Equivalent work experience in a similar position may be substituted for educational requirements.
• Excellent computer skills and proficient in Excel
• Strong communication and interpersonal skills, displaying the ability to connect and build relationships at all levels with payers, providers, clients, management, and peers.
• Strong analytical and problem-solving skills
• Effective organization, time management skills
• Must be able to learn, understand, and apply new technologies.
• High School Diploma or Equivalent Required
• Proactive, independent and results oriented
• Customer and team focused with a strong desire to be an active, long-term participant in the growth of the firm overall.
• Experience with medical claims processing
• Experience in creating and maintaining complex queries
• This position will be exposed mainly to an indoor office environment and will be expected to work in or around computers and printers.
• The nature of the work is sedentary, and the employee will be sitting most of the time.
• Essential physical functions of the job include typing and the repetitive motion to utilize computer software and hardware continuously throughout the day.
• Essential mental functions of this position include concentrating on analytical tasks, reading information, and verbal/written communication to others continuously throughout the day.
• This job description documents the general nature and level of work but is not intended to be a comprehensive list of activities, duties, or responsibilities required for this position. Consequently, employees may be asked to perform other duties as required .
• Employees may also be asked to complete certain compliance requirements set forth by our Business Partners in the performance of their jobs including but not limited to requests for background and drug screenings and disclosures of personal health information or personally identifiable information. Exemptions as provided under the ADA and TITLE VII of the Civil Rights Act will be observed and followed.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the functions outlined above.