Claims Recoup & Collection Analyst Position

Job Title: Claims Recoup & Collection Analyst Position
Job ID: 74397
Location: Arizona - Remote


Overview:
Under limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments.


What you will be doing:

• Works with Provider Services, Finance, Legal, and Subcontractors to ensure successful recoupment outcomes.

• Makes outbound calls to providers to notify of and discuss recoupments.

• Coordinates payment arrangements.

• Tracks and advises management of outstanding recoupments.

• Tracks and reports payment plan status.

• Recommends outstanding accounts be set up with collections

• Conducts complex claims policy research.Serves as submit matter expert resource to team members, supervisors, and other management teams.

What you must have:

• High School diploma or GED

• 2+ years of healthcare billing or medical claims processing  experience

• Claims research skills, to include healthcare policy

• Experience building relationships and using influencing skills

• Experience using Excel to track, trend and report on data

Nice to have:

• Bachelor’s (BS/BA) Degree in health care or related field or equivalent experience

• 2 years of Government claims experience

• Collections experience

• Quality or process improvement experience

Salary/Rate Range: $25.81 to $27.24


For more information about TEEMA and to consider other career opportunities, please visit our website at www.teemagroup.com