Healthcare Collections Analyst

🕒 July 14

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

📞 Collections

🚫👨‍🎓 No degree required

👻 Ghost score 55%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Lyric - Clarity in motion.

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

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

• Process medical insurance claim overpayments identified through Lyric’s data mining efforts • Post provider refunds and process adjustments and offsets • Conduct collection activities and outbound calls to healthcare providers to secure payment recovery • Prepare notification letters and handle data entry, correspondence tracking, generating, stuffing, and mailing letters • Validate overpayments using policy instructions and claim coding details • Maintain a library of audit concept validation instructions, client-specific rules, and system processing instructions • Assist with identifying overpayments and improving audit concepts • Communicate payment requests, claim details, and supporting information to provider offices • Collaborate with internal teams to resolve discrepancies and provider questions • Review claims, calculate payments, and validate identified overpayments • Manage outstanding accounts receivable, identify unpaid-account issues, and contact providers to collect payment • Follow company and client policies, procedures, guidelines, provider manuals, member benefits, and state and federal regulations • Recognize and report system issues • Prepare basic internal and external reports • Maintain department productivity, accuracy, and quality standards • Complete special projects as assigned

🎯 Requirements

• Minimum of one (1) year experience in administration support or data entry • High school diploma • Applicants must already be legally authorized to work in the U.S. • Visa sponsorship, sponsorship assumption, and other immigration support are not available • One (1) year experience in healthcare claims operations environment (preferred) • College degree in a role-related field (preferred) • Excellent verbal and written communication skills • Strong MS Office skills, including Word, Excel, and PowerPoint • Strong organization and time management • Ability to work in a fast-paced environment and handle multiple priorities

🏖️ Benefits

• Full-time position • Equal Opportunity Employer committed to an inclusive environment • Collaborative success environment