Claims Recoup Specialist
1 day ago
We are seeking a highly skilled and detail-oriented Claims Recoup Specialist to join our team. In this role, you will be responsible for managing and performing claims department activities related to recoupments and collections.
Key Responsibilities- Manage the recoupment process and identify opportunities for improvements.
- Work with Provider Services, Finance, Legal, and Subcontractors to ensure successful recoupment outcomes.
- Make outbound calls to providers to notify of and discuss recoupments.
- Coordinate payment arrangements.
- Track and advise management of outstanding recoupments.
- Track and report payment plan status.
- Recommend outstanding accounts be set up with collections.
- Conduct complex claims policy research.
- Serve as a subject matter expert resource to team members, supervisors, and other management teams.
- 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.
- 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.
This role requires extensive computer work with prolonged sitting. A level II IT security clearance is also required.
BenefitsWe offer a comprehensive and progressive compensation and benefits package, including medical, dental, and vision coverage, generous paid time off, 401(k) retirement savings plan, and more.
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