Collections Analyst

About the role

The Provider Claim Recovery Analyst is responsible for collaborating with department management, managing a book of business, resolving payment disputes, and generating and distributing departmental reporting metrics.

Responsibilities

• Collaborative interaction with department management regarding goals and objectives, special projects, and general information sharing that leads to an effective and efficient operating department.
• Complete daily tasks that include financial adjustments, investigations on disputed claims overpayments, analyzing provider data, and completing reconciliations.
• Manage a book of business that includes claims overpayment recoveries (Provider/Subscriber).
• Identify process improvement opportunities that enhance quality and efficiency without sacrificing service.
• Work directly with third-party collections agencies to drive results for uncollectible Provider AR.
• Directly interact with providers and subscribers to resolve payment disputes.
• Assist in the development and preparation of departmental reporting metrics and analytics.
• Create and maintain desk-level procedure documents.
• Share information across the team and other business areas to reduce overall AR and limit financial risk.
• Document and prioritize system limitations and coordinate with respective areas to identify technical solutions or automation opportunities.
• Handle escalated cases with internal and external stakeholders self-sufficiently.

Requirements

• Bachelor’s degree in business-related field is a plus.
• 2 or more years’ experience in the healthcare or health insurance industry.
• AR management experience is strongly desired.
• Understanding of basic business acumen is desired.
• Strong technical ability to employ and manipulate systems to generate needed reporting, as well as to view team results.
• Able to interface with internal and external customers at various levels.
• Willingness to work in a fast-paced, challenging environment.
• Willingness to step outside normal business tasks to improve processes and reduce financial risk.
• Detail-oriented and organized with exceptional prioritization skills.
• Ability to effectively communicate with senior management, supervisors, peers, and external providers.
• Proficient in Microsoft Applications.
• Understanding of proven process improvement methodology and driving change management.

Qualifications

• Customer-focused.

Skills

• Strong technical ability to employ and manipulate systems to generate needed reporting, as well as to view team results.
• Able to interface with internal and external customers at various levels.
• Proficient in Microsoft Applications.
• Understanding of proven process improvement methodology and driving change management.

Benefits

Details about benefits are not specified in the provided job posting.

Pay

Details about pay are not specified in the provided job posting.

Schedule

Details about schedule are not specified in the provided job posting.

Company Information

Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.

Equal Employment Opportunity

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Agency Disclaimer

All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.