Senior Recovery Analyst I - Complex Adjustments

CoxHealth; Springfield (MO); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

Retirement with employer match

Job summary

CoxHealth is hiring a Senior Recovery Analyst I for the Claims Department in Springfield, MO. The role focuses on complex adjustments, handling overpayments and underpayments from multiple departments, and mentoring team members.

The candidate will work with CORE claim adjudication systems and perform audits in collaboration with vendors, leveraging strong communication and independent work habits to ensure accurate recoveries.

Qualifications

• High School Diploma or equivalent required.
• 3–5 years related experience required.
• Excellent verbal and written communication skills; able to work independently and collaboratively.

Responsibilities

• Process complex adjustments, handling overpayments and underpayments from multiple departments.
• Coordinate and mentor team members within the Claims Department.
• Facilitate clinical high-dollar audits with vendors and support CORE adjudication workflows.

Skills

Excellent verbal communication

Written communication

Independent worker

Team collaboration

Education

High School Diploma or Equivalent

Tools

CORE claim adjudication system

Job description

CoxHealth is hiring a Senior Recovery Analyst I for the Claims Department in Springfield, MO. The role focuses on complex adjustments, handling overpayments and underpayments from multiple departments, and mentoring team members.

The candidate will work with CORE claim adjudication systems and perform audits in collaboration with vendors, leveraging strong communication and independent work habits to ensure accurate recoveries.