Healthcare Collections Analyst

TBC Corporation

5d•$20 - $0

About The Position

Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified, and a recipient of the 2025 CandE Award for Candidate Experience. Interested in shaping the future of healthcare with AI? Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI. Applicants must already be legally authorized to work in the U.S. Visa sponsorship/sponsorship assumption and other immigration support are not available for this position. The Healthcare Collections Analyst is responsible for processing medical insurance claim overpayments that were identified through Lyric’s data mining efforts including but not limited to posting recoveries, processing adjustments and offsets, and conducting collection activities to secure refund checks. The Healthcare Collections Analyst will also participate in validating the overpayments based on policy instructions and claim coding details and will maintain a library that includes instructions for validating specific audit concepts, client specific rules, and system processing instructions. This person may also assist in the identification process and audit concept improvements to ensure the best return for our clients.

Requirements

Minimum of one (1) year experience in administration support or data entry
High school diploma

Nice To Haves

One (1) year experience in healthcare claims operations environment
College degree in role related field
Excellent communication skills; verbal and written
Strong MS Office skills (Word, Excel, PowerPoint)

Responsibilities

Perform a variety of support and general administration assignments in support of the team including but not limited to data entry, tracking correspondence, generating, stuffing, and mailing letters
Process overpayments (post provider refunds, adjustments, offsets) requests, prepare notification letters.
Conduct outbound calls to healthcare providers to request payment recovery in a professional, courteous, and respectful manner
Clearly communicate payment requests, claim details, and supporting information to provider offices
Collaborate with internal teams to resolve discrepancies or provider questions efficiently
Review claims for missing or incomplete information, calculate payment, or validation of identified overpayments.
Work under direct supervision with ability to analyze claim issues from identification to resolution and handle basic problems independently while collaborating with senior team member on more complex issues
Responsible for reviewing and managing outstanding accounts receivable with guidance by operation leader, contacting providers to collect payment, and identifying issues with unpaid accounts
Understand client specific policies related to claim payments, provider manual and member benefits.
Maintain legal compliance by following company policies, client policies, procedures, guidelines, as well as state and federal regulations.
Recognize and report system issues
Prepare basic internal and external reports by collecting, analyzing, and summarizing information.
Maintain productivity goals and standards set by the department
Executes functions with focus on accuracy and quality
Complete special projects as assigned