Healthcare Collections Analyst

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Lyric - Clarity in motion.

WebsiteLinkedInAll Job Openings

201 - 500 employees

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

Healthcare Insurance • Fintech • SaaS

Lyric is a leading healthcare technology company focused on payment integrity and accuracy solutions. With over 30 years of experience, Lyric aims to simplify the business of care by leveraging machine learning and predictive analytics to empower health plan payers. The company provides a range of solutions, including Lyric 42 Platform, Pre-Pay Editing, Diagnostics Module, Coordination of Benefits, Concept Libraries, and LyricIQ, which combines AI-powered payment accuracy services. Additionally, Lyric focuses on transparency and responsibility in technology development, ensuring enhanced payment accuracy, administrative efficiencies, and reduced provider abrasion. As a trusted partner in the healthcare industry, Lyric continues to deliver cutting-edge technologies at the crossroads of healthcare and fintech, supporting health plans and providers in the shift to value-based care.

📋 Description

• Responsible for processing medical insurance claim overpayments. • Post recoveries, processing adjustments and offsets, and conducting collection activities. • Validate overpayments based on policy instructions and claim coding details. • Maintain a library of instructions for validating audit concepts, client rules, and system processing instructions. • Assist in identifying process and audit concept improvements. • Perform administrative assignments including data entry, tracking, and correspondence. • Conduct outbound calls to request payment recovery professionally. • Collaborate with internal teams to resolve discrepancies or questions. • Review claims for missing or incomplete information, calculate payment, or validate overpayments. • Manage accounts receivable and contact providers for payment.

🎯 Requirements

• Minimum of one (1) year experience in administration support or data entry. • High school diploma. • One (1) year experience in healthcare claims operations environment (preferred). • College degree in role related field (preferred). • Excellent communication skills; verbal and written. • Strong MS Office skills (Word, Excel, PowerPoint). • Strong organization and time management. • Ability to work in a fast-paced environment; flexibility to handle multiple priorities.