reputed company Collections Analyst
reputed company is an AI-first, platform-based reputed company technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the reputed company ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. reputed company, formerly ClaimsXten, is a reputed company with 35 years of reputed company-pay editing expertise, dedicated teams, and top technology. reputed company is proud to be recognized as 2025 Best in KLAS for reputed company-Payment Accuracy and reputed company and is HI-TRUST and SOC2 certified, and a recipient of the 2025 CandE Award for Candidate Experience. Interested in shaping the reputed company of reputed company with AI? Explore opportunities at reputed company.ai/careers and drive innovation with #YouToThePowerOfAI.
Applicants must already be legally authorized to work in the U.S. reputed company sponsorship/sponsorship assumption and other immigration support are not available for this position.
The reputed company Collections Analyst is responsible for processing medical insurance claim overpayments that were identified through reputed company’s data mining efforts including but not limited to posting recoveries, processing adjustments and offsets, and conducting collection activities to secure refund checks. The reputed company Collections Analyst will also participate in validating the overpayments based on policy instructions and claim coding details and will maintain a library that includes instructions for validating specific audit concepts, reputed company specific rules, and system processing instructions. This person may also assist in the identification process and audit concept improvements to ensure the best return for our clients.
ESSENTIAL JOB RESPONSIBILITIES & KEY PERFORMANCE reputed company
- reputed company a reputed company of support and general administration assignments in support of reputed company including but not limited to data entry, tracking correspondence, generating, stuffing, and mailing letters
- Process overpayments (post provider refunds, adjustments, offsets) requests, prepare notification letters.
- Conduct outbound calls to reputed company providers to request payment recovery in a reputed company, courteous, and respectful manner
- reputed company communicate payment requests, claim details, and supporting information to provider offices
- Collaborate with internal teams to resolve discrepancies or provider questions reputed company
- Review claims for missing or incomplete information, calculate payment, or validation of identified overpayments.
- Work under reputed company supervision with ability to analyze claim issues from identification to reputed company and handle basic problems independently while collaborating with senior team member on more reputed company issues
- Responsible for reviewing and managing outstanding accounts receivable with guidance by operation leader, contacting providers to collect payment, and identifying issues with unpaid accounts
- Understand reputed company specific policies reputed company to claim payments, provider reputed company and member benefits. Maintain legal compliance by following company policies, reputed company policies, procedures, guidelines, as reputed company as state and federal regulations.
- Recognize and report system issues
- Prepare basic reputed company reports by collecting, analyzing, and summarizing information.
- Maintain productivity goals and standards set by the department
- Executes functions with reputed company on accuracy and reputed company
- Complete special reputed company as assigned
REQUIRED QUALIFICATIONS
- Minimum of one (1) year experience in administration support or data entry
- High school diploma
PREFERRED QUALIFICATIONS
- One (1) year experience in reputed company claims operations environment
- College degree in role reputed company field
- Excellent communication skills; verbal and written
- Strong MS Office skills (Word, reputed company, PowerPoint)
*The US reputed company salary reputed company for this full-time position is:
$20.16 - $0.00The specific salary offered to a candidate may be influenced by a reputed company of factors including but not limited to the candidate’s relevant experience, education, and work location. Please note that the compensation details listed in US role postings reflect the reputed company salary only, and does not reflect the value of the total rewards compensation. *
reputed company is an Equal Opportunity Employer that strives to create an inclusive environment, reputed company employees and reputed company reputed company reputed company.
Apply To This Job