Senior Healthcare AR & Claims Recovery Analyst

Independence Blue Cross, LLC; Philadelphia (Philadelphia County); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Hybrid work model

Equal Opportunity Employer

Job summary

Independence Blue Cross, LLC is seeking a Provider Claim Recovery Analyst to support AR management, disputes, and reporting. You will collaborate with management, analyze provider data, and drive recoveries across Provider/Subscriber AR while seeking process improvements.

Your role involves coordinating with third-party agencies, resolving payment disputes with providers and subscribers, and delivering metrics to leadership. A fast-paced, collaborative environment is expected.

Qualifications

• Bachelor's degree in business-related field is a plus.
• 2 or more years' experience in the healthcare or health insurance industry.
• AR management experience is strongly desired.
• Strong technical ability to generate reporting and view team results.
• Ability to interface with internal and external customers at various levels.
• Detail oriented and organized, with exceptional prioritization skills.
• Proficient in Microsoft Applications.
• Customer Focused.

Responsibilities

• Collaborative interaction with department management regarding goals and objectives, special projects and general information sharing that leads to an effective and efficient operating department.
• Complete daily tasks that include financial adjustments, investigations on disputed claims overpayments, analyze provider data and complete reconciliations.
• Manage a book of business that includes claims overpayment recoveries (Provider/Subscriber).
• Responsible for identifying process improvement opportunities that can enhance quality and efficiency without sacrificing service.
• Working directly with thirdparty collections agencies to drive results for uncollectible Provider AR.
• Directly interact with providers and subscribers to resolve payment disputes.
• Assist in the development and preparation of departmental reporting metrics and analytics.
• Generate and distribute reporting to management, key stake holders and executive leadership.
• Create and maintain desk level procedure documents.
• Responsible for sharing information across the team and other business areas to reduce overall AR and limit financial risk.
• Document / prioritize system limitations and coordinate with respective areas to identify technical solutions or automation opportunities.
• Selfsufficient in handling escalated cases with internal and external stakeholders.

Skills

Strong analytical skills

Proficient in Microsoft Office

Stakeholder communication

Detail oriented

Education

Bachelor's degree in business-related field

Tools

Microsoft Office

Job description

Independence Blue Cross, LLC is seeking a Provider Claim Recovery Analyst to support AR management, disputes, and reporting. You will collaborate with management, analyze provider data, and drive recoveries across Provider/Subscriber AR while seeking process improvements.

Your role involves coordinating with third-party agencies, resolving payment disputes with providers and subscribers, and delivering metrics to leadership. A fast-paced, collaborative environment is expected.