RECOVERY ANALYST

Location
Virginia Beach, VA
Posted
Apr 20, 2017
Closes
Aug 01, 2017
Function
Analyst
Industry
Healthcare
Hours
Full Time
Job Description:
Optima Health has an opening for a RECOVERY ANALYST. The selected candidate will be responsible for processing files into the coordination of benefits system which may also include outbound contact for follow-up and verification. This position is full time, day shift located in Virginia Beach, VA. A minimum of 2yrs experience with health plan claims disbursements is required.

Analyzes, researches and obtains data required to prepare financial adjustments tomedical 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 Laws and Regulations).

Education Level
High School Grad or Equivalent

Experience
Required: Health Plan Claims Disbursmnts - 2 years

Preferred: None, unless noted in the “Other” section below

License
None, unless noted in the “Other” section below

Skills
Required: Accounting/Auditing, Complex Problem Solving, Critical Thinking, Mathematics

Preferred: None, unless noted in the “Other” section below