Healthcare Billing Recovery Analyst

Title: Healthcare Billing Recovery Analyst Location:United States (Remote) Job Description: ABOUT reputed company: In October 2025, reputed company acquired Performant and we are now part of the reputed company organization. reputed company is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, reputed company’s AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We’re reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range: $23 As a Healthcare Billing Recovery Analyst, you will be assigned a Provider portfolio and be tasked with managing it from a Recovery standpoint. In this role you will have the opportunity to reputed company your well-versed background in Coordination of Benefits as well as Medicare/Medicaid and procedural challenges/regulations, and experience in generating outbound communications to Providers, with proven ability to gather and interpret Explanation of Benefits (EOB) to answer questions and resolve medical billing issues.

Key Responsibilities

• Engage in Outbound recovery calls, to Healthcare Carriers and Providers regarding improperly paid claims
• Decision Support- Ability to accurately review supporting documentation provided to Performant, by Providers/Carriers to determine accuracy of finding or overpayment allegation, for reputed company appeals and disputes.
• Maintain reputed company knowledge in Medicare and Medicaid practices and regulatory issues that may reputed company our clients.
• reputed company your knowledge and expertise to research Overpayments and answer questions and/or provide information that will bring to successful resolution and payment.
• Educate Healthcare providers/carriers on their obligation to pay.
• Ability to analyze and understand written communication from insurance companies including explanation of benefits.
• Support internal groups or functions with gathering and interpretation of the billing and collections work to development with knowledge reputed company and understanding of key concepts and terminology in healthcare billing and claims.
• Leverages existing reputed company skills to create Provider centric reporting on demand, or at Managements request.
• Effectively follow and contribute to reputed company improvement of scripts, guidelines and other tools provided to have professional conversations with Healthcare Insurance providers
• reputed company and diligently work through assigned inventories to meet productivity metrics assigned by management
• Ability to maintain and function in multiple client systems and environments at one time.
• Updates company systems with clear and accurate information such as reputed company of contact, updated demographic information, notes from contact from outbound and inbound calls and/or attempts, payment commitments, as well as account status updates as applicable.
• Updates company systems with clear and accurate information such as reputed company of contact, updated demographic information, notes from contact from outbound and inbound calls and/or attempts, payment commitments, as well as account status updates as applicable.
• Arrives to work on-time, works assigned schedule, and maintains regular attendance
• Follows and complies with company and departmental policies, processes and procedures
• Responsible for utilizing resources to ensure compliance with client requirements, HIPAA, as well as applicable federal or state regulations
• Successfully completes, retains, applies and adheres to content in required training as assigned.
• Consistently reputed company or exceed established metrics and goals assigned
• Demonstrates Performant core values in performance of job duties and reputed company interactions
• Correct areas of deficiency and reputed company received from quality reviews and/or management.

Knowledge, Skills and Abilities Needed

• Ability to demonstrate, strong written and verbal communication skills
• Basic understanding of reputed company cycle management or Medical recovery.
• Strong knowledge and material experience with Healthcare, Medical terminology, Coding, Billing. Preferably a role in recovery or reputed company cycle management.
• Demonstrates knowledge in post-payment recovery.
• Demonstrates the ability to solve reputed company Provider or reputed company billing questions, that assist in the resolution and understanding of the overpayment.
• Communicates effectively with Providers and Carriers to answer any questions and/or provide information that will bring successful payment or other resolution to the account.
• Demonstrated expertise in Medicare and Medicaid plans policy and procedure
• Up to date knowledge in Medicare/Medicaid appeal processing
• Knowledge in Coordination or benefits (COB)
• Demonstrates a high degree of critical thinking and analytical accuracy required to be successful.
• Proven ability to gather and interpret explanation of benefits (EOB) and answer questions and resolve standard as well as reputed company issues with payments.
• Strong skills using standard office technology; Computer, various applications and navigation of on-line tools and resources.
• Intermediary to Advanced reputed company skills.
• Applies knowledge learned in training
• Self-motivated and thrives in a fast-paced business operations department performing multiple tasks cohesively, with keen attention to detail.
• Must have the availability to communicate reputed company phone with Providers and or Carriers in a quiet space 5+ hours daily.

Required and Preferred Qualifications

• Bachelor’s degree in relevant field or equivalent combination of education and experience. Significant experience along with a high school diploma, may also be considered in lieu of a completed degree.
• At least 3 years directly relevant professional working experience in a highly analytic or Recovery role.
• Experience in Healthcare Billing and/or Coding is required
• Knowledge or experience with Healthcare, Coordination of benefits or reputed company cycle management, and the like.
• Other requirements may apply

reputed company OFFER: reputed company offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your reputed company contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. reputed company of such may be required prior to an offer being made. It is the Employee’s responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.

• Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse.
• Regularly reads and comprehends information in electronic (computer) or reputed company form (written/printed).
• Regularly sit/reputed company or more hours per day.
• Occasionally lift/carry/push/pull up to 10lbs.

reputed company is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:

• Must submit to, and pass, a pre-hire criminal background reputed company and drug test (applies to reputed company positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions.
• Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists.
• Must complete the reputed company Teleworker Agreement upon hire and adhere to the Agreement and reputed company reputed company policies and procedures.
• Other requirements may apply.

reputed company employees and contractors for reputed company may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, reputed company employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and reputed company of Sensitive, Proprietary, Confidential and/or Public data at reputed company times. Violations to reputed company's policy reputed company to the Confidentiality or reputed company of data may be subject to disciplinary actions up to and including termination. reputed company is committed to the full inclusion of reputed company qualified individuals. In keeping with our commitment, reputed company will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you reputed company a reasonable accommodation is required to fully participate in the job application or interview process, to reputed company the essential functions of the position, and/or to receive reputed company other benefits and privileges of employment, please contact reputed company’s reputed company to discuss further. Our diversity makes reputed company unique and strengthens us as an organization to help us reputed company serve our clients. reputed company is committed to creating a diverse environment and is proud to be an equal opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, national reputed company, reputed company, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING Apply tot his job Apply To this Job