Medical Claims Overpayment Recovery Specialist - Remote

Overview

The Overpayment Recovery Specialist is responsible for identifying, investigating, and recovering overpayments made by the company or clients, requiring strong analytical skills and attention to detail.

In Short

• Reviewing medical claims payment data and appeals to identify and verify overpayments.
• Investigating overpayment causes, including duplicate payments and system errors.
• Documenting overpayment claims and maintaining organized records.
• Initiating recovery processes for overpayments.
• Monitoring and following up on overpayment claims.
• Preparing and submitting regular reports on recovery status.
• Ensuring compliance with healthcare regulations.
• Providing excellent customer service to providers.
• Negotiating repayment arrangements with healthcare providers.
• Staying updated on changes in healthcare billing laws.

Requirements

• Minimum of 3 years of experience in healthcare billing and claims.
• Excellent communication and interpersonal skills.
• Strong analytical and problem-solving abilities.
• Intermediate to advanced knowledge of Microsoft Office.
• Attention to detail and ability to detect discrepancies.
• Ability to work independently and prioritize tasks.
• Knowledge of auditing procedures in healthcare.
• Experience in customer service collections preferred.
• Ability to mentor staff and multi-task.
• Organized, self-motivated, and disciplined.

Benefits

• Remote work with necessary equipment provided.
• Opportunities for professional development.
• Supportive company culture focused on diversity and inclusion.
• Competitive salary and benefits package.
• Commitment to equal opportunity employment.