Remote Healthcare Claims Recovery Specialist

hcsc; Albuquerque (NM); Remote; USD 24,000 - 39,000; Full time

Job summary

HCSC is seeking a detail-oriented professional to research refund checks, out-of-balance entries and non-negotiated provider checks. The work may require offsetting, voiding or reissuing payments and demands knowledge of complex pricing, contract pricing and coordination of benefits.

Requirements include a high school diploma or GED, 1 year COB experience, ability to determine health care reimbursement methods, and strong math and analytical skills with good organizational and time-management

Qualifications

• High school diploma or GED required.
• 1 year COB experience.
• Ability to determine health care reimbursement methodologies.
• Strong math, analytical, and problem-solving skills.

Responsibilities

• Research refund checks, out-of-balance entries and non-negotiated provider checks.
• Assist with offsetting, voiding or reissuing payments as needed.

Skills

COB experience

Healthcare pricing knowledge

Coordination of benefits

Analytical skills

Mathematical skills

Time management

Teamwork

Education

High school diploma or GED

Job description

HCSC is seeking a detail-oriented professional to research refund checks, out-of-balance entries and non-negotiated provider checks. The work may require offsetting, voiding or reissuing payments and demands knowledge of complex pricing, contract pricing and coordination of benefits.

Requirements include a high school diploma or GED, 1 year COB experience, ability to determine health care reimbursement methods, and strong math and analytical skills with good organizational and time-management