Performant Healthcare, Inc. · 2 weeks ago
Healthcare Billing Recovery Analyst
United States
Full-time
Remote
Mid Level
$23/hr - $23/hr
3+ years expPerformant Healthcare, Inc. is a leading healthcare intelligence company focused on delivering value and efficiency to health plans. The Healthcare Billing Recovery Analyst will manage a Provider portfolio, engage in recovery calls, and leverage knowledge of Medicare/Medicaid to resolve billing issues and educate providers on payment obligations.
AnalyticsCustomer ServiceFinancial Services
Responsibilities
Engage in Outbound recovery calls, to Healthcare Carriers and Providers regarding improperly paid claims
Decision Support- Ability to accurately review supporting documentation provided to Performant, by Providers/Carriers to determine accuracy of finding or overpayment allegation, for Complex appeals and disputes
Maintain current knowledge in Medicare and Medicaid practices and regulatory issues that may affect our clients
Leverage your knowledge and expertise to research Overpayments and answer questions and/or provide information that will bring to successful resolution and payment
Educate Healthcare providers/carriers on their obligation to pay
Ability to analyze and understand written communication from insurance companies including explanation of benefits
Support internal groups or functions with gathering and interpretation of the billing and collections work to development with knowledge base and understanding of key concepts and terminology in healthcare billing and claims
Leverages existing excel skills to create Provider centric reporting on demand, or at Managements request
Effectively follow and contribute to continuous improvement of scripts, guidelines and other tools provided to have professional conversations with Healthcare Insurance providers
Efficiently and diligently work through assigned inventories to meet productivity metrics assigned by management
Ability to maintain and function in multiple client systems and environments at one time
Updates company systems with clear and accurate information such as point of contact, updated demographic information, notes from contact from outbound and inbound calls and/or attempts, payment commitments, as well as account status updates as applicable
Updates company systems with clear and accurate information such as point of contact, updated demographic information, notes from contact from outbound and inbound calls and/or attempts, payment commitments, as well as account status updates as applicable
Arrives to work on-time, works assigned schedule, and maintains regular attendance
Follows and complies with company and departmental policies, processes and procedures
Responsible for utilizing resources to ensure compliance with client requirements, HIPAA, as well as applicable federal or state regulations
Successfully completes, retains, applies and adheres to content in required training as assigned
Consistently achieve or exceed established metrics and goals assigned
Demonstrates Performant core values in performance of job duties and all interactions
Correct areas of deficiency and oversight received from quality reviews and/or management
Qualification
Required
Bachelor's degree in relevant field or equivalent combination of education and experience. Significant experience along with a high school diploma, may also be considered in lieu of a completed degree
At least 3 years directly relevant professional working experience in a highly analytic or Recovery role
Experience in Healthcare Billing and/or Coding is required
Knowledge or experience with Healthcare, Coordination of benefits or Revenue cycle management, and the like
Benefits
Medical
Dental
Vision
HSA/FSA options
Life insurance coverage
401(k) savings plans
Family/parental leave
Paid holidays
Paid time off annually
Company
Performant Healthcare, Inc.
Billions of dollars are lost each year to waste, improper payments and unpaid debts.
1001-5000 employees
Funding
Current Stage
Public CompanyTotal Funding
$25MKey Investors
Wells Fargo
2023-11-07Post Ipo Debt· $25M
2012-08-10IPO
Leadership Team
Simeon Kohl
Chief Executive Officer
Rohit R.
Chief Financial Officer
Recent News
2024-11-12
2024-11-06
Company data provided by crunchbase