Healthcare Reclamation Analyst

Job not on LinkedIn

🕒 April 29

🇺🇸 United States – Remote

💵 $20 - $26 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

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BASF

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1865

🌾 Agriculture

Chemicals • Agriculture • Healthcare

BASF is a global chemical company that operates across multiple sectors, providing a wide range of products and solutions. The company is focused on innovation and sustainability, serving industries such as agriculture, automotive, construction, electronics, energy, and healthcare. With a commitment to research and development, BASF aims to create chemicals that enhance the quality of life and support sustainable practices worldwide.

📋 Description

• Leverage solid knowledge and expertise in COB/TPL/Recovery to gather and review in-house data with payer correspondence to determine proper order of benefits and resolve primacy issues. • Successfully solves data or record discrepancies and/or issues. • Leverage your knowledge and expertise in COB/TPL/MSP to review documentation and eligibility, investigate the file to determine proper order of benefits and answer questions and/or provide information that will bring to successful payment or other appropriate account action. • Communicate effectively with carriers to determine primacy; answer questions and/or provide information that will bring to successful payment or other appropriate account action. • Contact Healthcare Insurance carriers regarding claim responses. • Educate Healthcare Insurance carriers on the Coordination of Benefits rules and appropriately respond to complex questions. • Analyze and understand written communication from insurance companies including explanation of benefits (EOBs). • Support internal groups or functions with gathering and interpretation of the claims billing process and denial management. • Effectively follow and contribute to continuous improvement of scripts, guidelines and other tools provided to have professional conversations with Healthcare Insurance carriers, and/or providers. • Efficiently and diligently work through assigned inventories to consistently meet productivity metrics assigned by management. • Leverage knowledge and expertise to research various scenarios that will bring to successful resolution and payment (i.e.. eligibility research and claims appeals).

🎯 Requirements

• Minimum 2 years of directly relevant progressive experience in billing reclamation or directly related role demonstrating application of similar depth of skills and knowledge and capability required for the position. • Minimum 12 months relevant collections/receivable experience with consistent high production results. • Experience demonstrating research and analytical skills relevant to the position. • High School diploma or GED. • Relevant college courses or certification a plus.

🏖️ Benefits

• medical • dental • vision • HSA/FSA options • life insurance coverage • 401(k) savings plans • family/parental leave • paid holidays • paid time off annually