The Healthcare Reclamation Analyst reviews assigned client data and payer correspondence, investigates coverage to determine eligibility and primacy, and gathers and interprets explanation of benefits and payer feedback to recover funds for clients who have paid in error.
The role focuses on coordination of benefits, third-party liability, recovery research, and communication with insurance carriers and providers to resolve claims and payment issues.
Requirements & Qualifications
What you'll bring
- Minimum 2 years of directly relevant progressive experience in billing reclamation or a directly related role.
- Minimum 12 months of relevant collections/receivables experience with consistent high production results.
- Experience with research and analytical work.
- High school diploma or GED; relevant college courses or certification are a plus.
- Solid applied knowledge of healthcare, medical terminology, and medical coding.
- Experience with coordination of benefits, third-party liability, and accounts receivable.
- Ability to gather and interpret explanation of benefits (EOBs) and resolve primacy issues.
- Strong communication skills and ability to work professionally with providers and carriers.
- Understanding of HIPAA and privacy requirements.
- Proficiency with standard office technology and online tools.
- Ability to work independently in a remote environment with high-speed internet and a compliant workspace.
- Ability to obtain and maintain required client clearances and pass background/drug screening.
Benefits & Perks
What we offer
- Work from anywhere in the US
- Medical, dental, and vision coverage
- FSA/HSA
- Tuition reimbursement
- Competitive salary and 401(k) with company match
- Additional health and wellness benefits and perks
- Flexible, trusting environment
Location
Lexington, Kentucky, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago