Senior Recovery Analyst I
Core
Managing complex financial adjustments for over and underpayments across multiple departments and facilitating high-dollar clinical audits.
Role type
Senior Recovery Analyst
Builds
Financial adjustments and audit resolutions for healthcare claims
Domain
Healthcare / Claims Administration
Deliverable
dashboards & analysis
Required skills
Financial analysis, Claims adjudication, Vendor management, Audit facilitation, Report generation, System navigation
Responsibilities
Process adjustment requests via email, reports, or CORE claim adjudication system; Facilitate clinical high-dollar audits with vendors; Mentor team members in the Claims Department; Manage complex adjustments for over and underpayments.
