Employer Industry: Healthcare

Why consider this job opportunity:
- Salary up to $50,000 per year
- Opportunity for career advancement and growth within the organization
- Fully remote position with necessary equipment provided by the employer
- Supportive work environment focused on operational excellence and patient care
- Chance to make a significant impact on healthcare billing processes and recovery efforts

What to Expect (Job Responsibilities):
- Review medical claims payment data and appeals to identify and verify overpayments
- Investigate causes of overpayments, including duplicate payments and system errors
- Document overpayment claims and maintain organized records for audit purposes
- Initiate recovery processes by contacting healthcare providers to request refunds
- Prepare and submit regular reports detailing the status of overpayment recoveries

What is Required (Qualifications):
- Minimum of 3 years of experience in healthcare billing, coding, or claims
- Excellent communication and interpersonal skills for stakeholder engagement
- Strong analytical and problem-solving abilities with attention to detail
- Intermediate to advanced knowledge of Microsoft Office, particularly Word and Excel
- Ability to work independently and prioritize tasks to meet deadlines

How to Stand Out (Preferred Qualifications):
- Bachelor's degree in healthcare administration, business, finance, accounting, or related field
- Certified Professional Biller (CPB) or Certified Professional Coder (CPC) certification
- Strong understanding of healthcare regulations, insurance contracts, and reimbursement processes
- Prior claims processing experience within Eldorado HealthPac Claims Adjudication System
- Knowledge of CPT and ICD coding

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