RECOVERY ANALYST
Location: Virginia Beach Virginia!
Description: Optima Health is currently seeking to employ RECOVERY ANALYST right now, this vacancy will be placed in Virginia. For detail informations about this vacancy opportunity kindly see the descriptions. Analyzes, researches and obtains data required to prepare financial adjustments to medical claims expense from overpayments identified, pursued and collected.
Performs routine audits of claims paid to verify accuracy of claims expense recorded on SHP financial statements.
Responsible for preparing payment adjustments to reduce medical claims expense in accordance with various programs (ie. MSP, Workers Compensation, Subrogation, National Association of Insurance Companies, Fair Business Practices Act laws established by the Bureau of Insurance, as well as other Federal and State La! ws and Regulations).
Analyzes claims expense incurred! for retro-terminated members, members with other primary insurance and specific diagnoses’ to identify all potential workers compensation and subrogation.
Negotiates acceptable recovery procedures and offers solutions to attorneys, providers and members based on current policies. In addition, prepares documentation summarizing medical treatment for attorney’s filing workers compensation and subrogation cases.
Minimum Qualifications:
High School diploma or equivalent required. Minimum of 2 years financial claims recovery, accounting, or claims experience required. Basic computer skills including working knowledge of PC applications such as Windows, Word and Excel required.
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EOE M/F/D/V. Drug Free Workplace. Criminal History Background Check.In support of our mission “We improve health every dayâ€, Optima Health has a tobacco-free environment
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If you were eligible to this vacancy, please ema! il us your resume, with salary requirements and a resume to Optima Health.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Fri, 06 Dec 2013 18:26:39 GMT