Senior Recovery Analyst I

CoxHealth•Springfield, MO

2d•Onsite

About The Position

The Senior Recovery Analyst I is responsible for complex adjustments and for handling overpayments and underpayments received from multiple departments. The role processes adjustment requests submitted by email, through a report, or in the CORE claim adjudication system. It also facilitates clinical high-dollar audits with vendors and serves as a mentor to Claims Department team members.

Requirements

High school diploma or equivalent.
3–5 years of related experience.
Excellent verbal and written communication skills.
Ability to work independently and collaboratively in teams.
Self-starter.
Proficiency using computers and computer systems.

Responsibilities

Process complex adjustments.
Handle overpayments and underpayments received from multiple departments.
Process adjustment requests received through email, reports, or the CORE claim adjudication system.
Facilitate clinical high-dollar audits with vendors.
Mentor Claims Department team members.