Healthcare Reclamation Analyst

BASF

Healthcare Reclamation Analyst for Machinify reviewing client data and managing billing discrepancies. Leveraging healthcare knowledge to resolve issues and improve payment processes.

Posted 4/29/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $20 - $26 per hourWebsite

About the role

Key responsibilities & impact

Leverage solid knowledge and expertise in COB/TPL/Recovery to gather and review in-house data with payer correspondence to determine proper order of benefits and resolve primacy issues.
Successfully solves data or record discrepancies and/or issues.
Leverage your knowledge and expertise in COB/TPL/MSP to review documentation and eligibility, investigate the file to determine proper order of benefits and answer questions and/or provide information that will bring to successful payment or other appropriate account action.
Communicate effectively with carriers to determine primacy; answer questions and/or provide information that will bring to successful payment or other appropriate account action.
Contact Healthcare Insurance carriers regarding claim responses.
Educate Healthcare Insurance carriers on the Coordination of Benefits rules and appropriately respond to complex questions.
Analyze and understand written communication from insurance companies including explanation of benefits (EOBs).
Support internal groups or functions with gathering and interpretation of the claims billing process and denial management.
Effectively follow and contribute to continuous improvement of scripts, guidelines and other tools provided to have professional conversations with Healthcare Insurance carriers, and/or providers.
Efficiently and diligently work through assigned inventories to consistently meet productivity metrics assigned by management.
Leverage knowledge and expertise to research various scenarios that will bring to successful resolution and payment (i.e.. eligibility research and claims appeals).

Requirements

What you’ll need

Minimum 2 years of directly relevant progressive experience in billing reclamation or directly related role demonstrating application of similar depth of skills and knowledge and capability required for the position.
Minimum 12 months relevant collections/receivable experience with consistent high production results.
Experience demonstrating research and analytical skills relevant to the position.
High School diploma or GED.
Relevant college courses or certification a plus.

Benefits

Comp & perks

medical
dental
vision
HSA/FSA options
life insurance coverage
401(k) savings plans
family/parental leave
paid holidays
paid time off annually

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

COBTPLMSPdata analysisclaims billingdenial managementeligibility researchclaims appealsrecord discrepancy resolutiondocumentation review

Soft Skills

effective communicationproblem solvinganalytical skillsattention to detailcontinuous improvementorganizational skillsinterpersonal skillstime managementcustomer servicecollaboration

Certifications

High School diplomaGEDrelevant college coursescertification in billing reclamation