Senior Claims Refund Analyst

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Logo of Allied Benefit Systems

Allied Benefit Systems

201 - 500 employees

Founded 1980

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Allied Benefit Systems is a national healthcare solutions company that provides health plan administration, care and cost management, provider network services, and data analytics to employers, members, and benefits consultants. The company focuses on reducing healthcare costs, optimizing plan performance, and improving member experience through administrative services, analytics & insights, and customizable provider networks.

📋 Description

• Coordinate and process all refunds received on claims • Log and track refunds • Sort and copy refund paperwork when applicable • Work with claims department personnel to determine the appropriateness of refunds • Provide monthly reports regarding processing errors that result in unsolicited refunds • Track overpayment projects • Perform other duties as assigned

🎯 Requirements

• High school diploma or equivalent required • Minimum of 5 years of claims processing experience • Preferably experience with the QicLink claims processing system • Adjustment experience required • Proficient in Microsoft Word and Excel • Ability to easily learn other data systems • Internet connection through cable broadband or fiber optic service provider • Internet speed of at least 100Mbps download/25Mbps upload • Ability to work extended periods sitting and performing computer work

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • Generous Paid Time Off • Tuition Reimbursement • EAP • Technology Stipend • Flexible work-from-home arrangement

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