Managed Care Analyst 1 Recovery
Hesperia, CA 92345
Looking to work for a large player in the High Desert market? This is the job for you!!This MSO provides full range of managed healthcare services, including the effective management of risk arrangements, for independent practice associations, medical groups, hospitals, and other managed care organizations. This MSO is looking for a Managed Care Analyst/ Recovery Specialist to join their team at their main office in Apple Valley.
What will I be doing?
Recovery Specialist will be responsible for the analysis and evaluation of claims data
Working on EzCap to analyze data
Recovery of claims discrepancies
Review revenue recoveries, retro-terminations, duplicate payments, and other over payment errors
Resolve issues regarding member eligibility for PCP s and Specialty Providers
Ensure member information is accurate
Research and resolve requests from financial department
Work with health plans and employer groups to verify member eligibility
Correspond with members via electronic mail, calls, and respond to voicemails
Maintain data integrity
What experience should I have?
ICD 10, HCPCS, and CPT Coding experience
Health Plan and Vendor Contracting experience
Expert Excel and Microsoft Office skills
Experience using EZ-CAP