Provider Claims Recovery Analyst (Hybrid)

Independence Blue Cross; Philadelphia (Philadelphia County); Hybrid; USD 70,000 - 95,000; Full time

Benefits offered by this job

Hybrid of Choice

Equal Opportunity Employer

Job summary

Independence Blue Cross is seeking a Provider Claim Recovery Analyst to join our Philadelphia-area health care team. The role focuses on AR management, disputed claim investigations, and revenue recovery for providers and subscribers.

You will collaborate with management, drive improvements, and interface with third-party agencies to enhance recovery results. Hybrid-of-choice work options are available within the Tri-State Area.

Qualifications

• 2+ years' experience in healthcare or health insurance.
• AR management experience strongly desired.
• Willingness to work in a fast-paced environment.
• Strong analytical and reporting capabilities.
• Proficient in Microsoft Applications.

Responsibilities

• Collaborate with department management on goals, projects, and information sharing.
• Process daily tasks including financial adjustments and investigations of disputed claims overpayments.
• Manage a book of business including provider/subscriber overpayments.
• Identify process improvements to enhance quality and efficiency while maintaining service.
• Work with third-party collections agencies to drive results for uncollectible Provider AR.
• Interact with providers and subscribers to resolve payment disputes.
• Assist in development and preparation of departmental reporting metrics and analytics.
• Generate and distribute reporting to management and executives.
• Create and maintain desk-level procedure documents.
• Share information across teams to reduce AR and limit financial risk.
• Document system limitations and coordinate with teams on technical solutions or automation.

Skills

AR management

Microsoft Office

Stakeholder communication

Process improvement

Education

Bachelor's degree in business-related field

Job description

Independence Blue Cross is seeking a Provider Claim Recovery Analyst to join our Philadelphia-area health care team. The role focuses on AR management, disputed claim investigations, and revenue recovery for providers and subscribers.

You will collaborate with management, drive improvements, and interface with third-party agencies to enhance recovery results. Hybrid-of-choice work options are available within the Tri-State Area.