Healthcare AR & Claims Recovery Analyst

Independence Blue Cross; Philadelphia (Philadelphia County); Presencial; USD 70.000 - 90.000; Jornada completa

Descripción de la vacante

Independence Blue Cross in Philadelphia is seeking a Provider Claim Recovery Analyst to manage disputed provider overpayments and drive AR recoveries. You will collaborate with management, analyze data, and generate reporting to leadership.

The role requires healthcare industry experience and strong system skills. You'll work in a fast-paced environment, interface with providers and subscribers, and contribute to process improvements while maintaining accuracy and compliance.

Formación

• Bachelor’s degree in business or related field.
• 2+ years’ experience in the healthcare or health insurance industry.
• AR management experience strongly desired.
• Understanding of basic business acumen.
• Strong technical ability to employ systems to generate reporting.
• Ability to interface with internal and external customers at various levels.
• Willingness to work in a fast-paced, challenging environment.
• Detail oriented and organized with strong prioritization skills.
• Excellent communication with senior management, supervisors, peers and external providers.

Responsabilidades

• Collaborate with department management on goals, projects, and information sharing for an efficient operation.
• Complete daily tasks including financial adjustments, investigations of disputed claims overpayments, and data analysis with reconciliations.
• Manage a book of business including provider/subscriber overpayment recoveries.
• Identify opportunities to improve processes and reduce financial risk.
• Coordinate with third-party collections agencies to drive results for uncollectible Provider AR.
• Interact with providers and subscribers to resolve payment disputes.
• Assist in developing and preparing departmental reporting metrics and analytics.
• Generate and distribute reporting to management, key stakeholders and leadership.
• Create and maintain desk-level procedure documents.
• Share information across teams to reduce AR and risk.
• Document system limitations and coordinate with areas for technical solutions.

Conocimientos

AR management

Healthcare industry experience

Interfacing with customers

Attention to detail

Analytical skills

Educación

Bachelor’s degree in business-related field

Herramientas

Microsoft Applications

Descripción del empleo

Independence Blue Cross in Philadelphia is seeking a Provider Claim Recovery Analyst to manage disputed provider overpayments and drive AR recoveries. You will collaborate with management, analyze data, and generate reporting to leadership.

The role requires healthcare industry experience and strong system skills. You'll work in a fast-paced environment, interface with providers and subscribers, and contribute to process improvements while maintaining accuracy and compliance.