M551 Analyst Funding and Recovery

M551 Analyst Funding and Recovery

15 Nov
|
New Century Health
|
Pune Division

15 Nov

New Century Health

Pune Division

Job Description



Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.



Are we growing? Absolutely56.7 PERCENT in year-over-year revenue growth in 2016. Are we recognized? Definitely. We have been named one of Beckers 150 Great Places to Work in Healthcare in 2016 and 2017, and one of the 50 Great Places to Work in 2017 by Washingtonian,

and our CEO was number one on Glassdoors 2015 Highest-Rated CEOs for Small and Medium Companies. If youre looking for a place where your work can be personally and professionally rewarding, dont just join a company with a mission. Join a mission with a company behind it.





Handle multiple initiatives as the same time

Communicate across all levels of management and management personnel

Reviewing member claims to determine if claim is a high dollar claims, refund is posted and refund letters are mailed.

Review recalc projects (over/under paid claims) to determine if refund is valid and post accordingly in system.

Work various reports and queues to determine overpayments

Write/track and mail recovery letters

Work Return check workflow queues and logs and post accordingly to the system.

Assist with internal and external audits

Other duties as assigned

The original job offer can be found in Kit Job:
https://www.kitjob.in/job/19966731/m551-analyst-funding-and-recovery-pune-division/?utm_source=html

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