TriWest Healthcare Alliance

  • Claims Recoup & Collect Anlyst

    Recruiting Location Phoenix, AZ
    ID 2019-2804
  • Overview

    Claims Recoup & Collection Analyst at TriWest Healthcare Alliance

     

    Taking Care of Our Nation’s Veterans.

    It’s Who We Are. It’s What We Do.

     

    Do you have a passion for serving those who served?

     

    Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!

     

    Our job is to make sure that America’s heroes get connected to health care in the community.

     

    At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.

     

    Are you our next Claims Recoup & Collection Analyst?

    Responsibilities

    TriWest Claims Recoup & Collection Analyst:

     

    Under limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments.

    • Under limited supervision, manages the recoupment process and identifies opportunities for improvements
    • Works with Provider Services, Finance, Legal, and Subcontractors to ensure successful recoupment outcomes
    • Makes outbound calls to providers to notify of and discuss recoupments
    • Coordinates payment arrangements
    • Tracks and advises management of outstanding recoupments
    • Tracks and reports payment plan status
    • Recommends outstanding accounts be set up with collections
    • Conducts complex claims policy research
    • Serves as submit matter expert resource to team members, supervisors, and other management teams
    • Performs other duties as assigned.
    • Regular and reliable attendance is required.

    Qualifications

    Are you qualified?

    • Are you a Veteran, family member of a Veteran, a friend of a Veteran, or passionate about helping Veterans?
    • Do you have your High School diploma or G.E.D?
    • Do you have 2+ years of healthcare billing or medical claims processing experience?
    • Do you have Claims research skills, to include healthcare policy?
    • Do you have Experience building relationships and using influencing skills?
    • Are you Proficient in written and oral communications and presentations?
    • Do you have Experience using Excel to track, trend and report on data?

    Preferred

    Do you have a Bachelor's (BS/BA) Degree in health care or related field or equivalent experience
    2+ years of medical or Government claims experience?

    Do you have Collections experience?

    Do you have Quality or process improvement experience?

     

    More about Working at TriWest Healthcare Alliance

    We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork.  Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

    • Medical, dental and vision coverage
    • Generous paid time off
    • 401(k) Retirement Savings Plan (with matching)
    • Short-term and long-term disability, basic life, and accidental death and dismemberment insurance 

    Equal Opportunity Employer

    TriWest Healthcare Alliance is an equal employment opportunity employer. All qualified applicants are considered for employment, without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic made unlawful by applicable federal, state, or local laws.

     

    Are you ready to make a difference in the lives of our nation’s heroes?

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