Claims Analyst IIIVirtualVocations • Baton Rouge, Louisiana, United States
Claims Analyst III
VirtualVocations • Baton Rouge, Louisiana, United States
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A company is looking for a Claims Analyst III to identify, analyze, and recover claim overpayments for clients.
Key Responsibilities
Assist clients in identifying, validating, and recovering claim overpayments
Review and resolve disputed overpayments and participate in knowledge sharing to address claim issues
Analyze medical and pharmacy claims data to identify trends and opportunities for overpayment recovery
Qualifications
Bachelor's degree in accounting, business, healthcare, or a related field, or equivalent work experience
5+ years of experience in the identification, analysis, and recovery of claim overpayments
Strong understanding of calculations and medical terminology
Excellent computer skills, particularly in Excel
Proven ability to collaborate and build relationships with various stakeholders
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