Identify, analyze, and recover provider credit balance accounts for health insurance clients. Manage AR collections, validate patient accounts, build provider relationships, meet productivity and quality targets, and escalate issues to management.

The Claims Analyst I will identify and analyze claim overpayments for health insurance clients, ensuring accurate processing and recovery while collaborating with team members and management to innovate solutions.

Review medical records and claims for accurate outpatient coding, ensuring compliance with guidelines, and responding to claims appeals. Responsibilities include validating coding accuracy and maintaining certifications.