Engage in Outbound recovery calls, to Healthcare Carriers and Providers regarding improperly paid claims
Decision Support
Ability to accurately review supporting documentation provided to Performant, by Providers/Carriers to determine accuracy of finding or overpayment allegation, for Complex appeals and disputes
Maintain current knowledge in Medicare and Medicaid practices and regulatory issues that may affect clients
Leverage knowledge and expertise to research Overpayments and provide information that will lead to successful resolution and payment
Educate Healthcare providers/carriers on their obligation to pay
Analyze and understand written communication from insurance companies
Support internal groups or functions with billing and collections work
Leverages existing excel skills to create Provider centric reporting on demand
Efficiently work through assigned inventories to meet productivity metrics
Update company systems with accurate information as applicable
Arrives to work on-time and maintain regular attendance
Follows and complies with company and departmental policies

Bachelor’s degree in relevant field or equivalent combination of education and experience
At least 3 years directly relevant professional working experience in a highly analytic or Recovery role
Experience in Healthcare Billing and/or Coding is required
Knowledge or experience with Healthcare, Coordination of benefits or Revenue cycle management
Strong written and verbal communication skills
Basic understanding of revenue cycle management or Medical recovery
Strong knowledge and material experience with Healthcare, Medical terminology, Coding, Billing
Must have the availability to communicate via phone with Providers and/or Carriers in a quiet space 5+ hours daily

Healthcare Billing Recovery Analyst

Key skills