Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary of $50,000.00 per year
- Opportunity for career advancement and growth within the organization
- Fully remote position with necessary equipment provided
- Supportive and collaborative work environment
- Chance to make a positive impact in the healthcare industry

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 eligibility issues
- Document overpayment claims and maintain organized records for audit purposes
- Initiate recovery processes for overpayments by contacting healthcare providers
- 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
- Knowledge of auditing procedures and claim resolution practices in healthcare
- Strong analytical and problem-solving abilities with attention to detail
- Intermediate to advanced knowledge of Microsoft Office, particularly Word and Excel

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

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