The Recovery Reimbursement Analyst I is responsible for managing and resolving outstanding insurance claims, including denials, unadjudicated balances with no payer response and claims requiring technical appeal submissions for technical hospital claims
Job Summary
The Recovery Reimbursement Analyst I is responsible for managing and resolving outstanding insurance claims, including denials, unadjudicated balances with no payer response and claims requiring technical appeal submissions for technical hospital claims.
This role requires an understanding of payer policies, medical billing codes and hospital reimbursement protocols.
The individual spends almost 100% of their time in an air-conditioned building with minimal exposure to excessive humidity and noise.
Matching Summary
The Recovery Reimbursement Analyst I is responsible for managing and resolving outstanding insurance claims, including denials, unadjudicated balances with no payer response and claims requiring technical appeal submissions for technical hospital claims.
Skills & Requirements
Must-have
managing outstanding insurance claims
resolving denied claims
technical appeal submissions
payer policies and medical billing codes
hospital reimbursement protocols
UB04 claim forms
Nice-to-have
positive and helpful attitude
continuous improvement identification
working relationships with co-workers
Key Requirements
minimum three years previous experience in healthcare
one year healthcare experience with associate or bachelor’s degree
two years of claim experience in hospital billing
complete familiarity of third-party billing and collection process
general PC operational knowledge and skills
Associate or bachelor’s degree or relevant certification preferred