Astrana Health, Inc.
Overview
Job Title:
Claims Revenue Recovery Analyst Department:
Ops - Claims Ops Employment Type:
Full Time Location:
1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To:
Liza Espanto Compensation:
$70,000 - $80,000 / year About the Role
The Claims Recovery Analyst is responsible for identifying and recovering overpaid claims through detailed report analysis, executing offsets, and posting refunds. This role supports the financial integrity of the claims department by ensuring accurate recovery processes and timely resolution of overpayment issues. What You\'ll Do
Review and analyze recovery reports to identify overpaid claims Initiate and process claim offsets in accordance with internal policies Post refunds received from providers, members, or other entities Collaborate with internal teams to resolve discrepancies and ensure accurate recovery tracking Maintain documentation of recovery activities for audit and compliance purposes Monitor recovery trends and escalate issues as needed Support process improvement initiatives to enhance recovery efficiency Qualifications
Bachelor\'s degree or 5 years of relevant healthcare experience 2+ years of experience in healthcare claims or recovery operations Strong analytical skills and attention to detail Familiarity with claims processing systems and recovery workflows Ability to work independently and manage multiple priorities Proficient in Excel and other reporting tools; excellent communication and organizational skills Environmental Job Requirements and Working Conditions
Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754. The total compensation target pay range for this role is: $70,000 - $80,000. The salary range represents our national target range for this role.
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Job Title:
Claims Revenue Recovery Analyst Department:
Ops - Claims Ops Employment Type:
Full Time Location:
1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To:
Liza Espanto Compensation:
$70,000 - $80,000 / year About the Role
The Claims Recovery Analyst is responsible for identifying and recovering overpaid claims through detailed report analysis, executing offsets, and posting refunds. This role supports the financial integrity of the claims department by ensuring accurate recovery processes and timely resolution of overpayment issues. What You\'ll Do
Review and analyze recovery reports to identify overpaid claims Initiate and process claim offsets in accordance with internal policies Post refunds received from providers, members, or other entities Collaborate with internal teams to resolve discrepancies and ensure accurate recovery tracking Maintain documentation of recovery activities for audit and compliance purposes Monitor recovery trends and escalate issues as needed Support process improvement initiatives to enhance recovery efficiency Qualifications
Bachelor\'s degree or 5 years of relevant healthcare experience 2+ years of experience in healthcare claims or recovery operations Strong analytical skills and attention to detail Familiarity with claims processing systems and recovery workflows Ability to work independently and manage multiple priorities Proficient in Excel and other reporting tools; excellent communication and organizational skills Environmental Job Requirements and Working Conditions
Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754. The total compensation target pay range for this role is: $70,000 - $80,000. The salary range represents our national target range for this role.
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