What you will do

The following are essential tasks of the Rep III (Senior Analyst) position. Daily job duties are not limited to the list below.

• Ability to create projects in Government Reimbursement Manager™

• Utilize MAC portals to complete MBI lookups

• Run projects in Revenue Opportunity Manager™ and produce results once complete.

• Capability to review return results to ensure project ran successful through HETS and CWF

• Recognize discrepancies between current project and previous projects and alert Lead for further investigation

• Identify accounts in Government Reimbursement Manager™ that need calls and research completed

• Make IVR calls on potential reimbursable claims

• Calls to MAC’s and review in Medicare portals

• Calls to Home Health Agencies and Skilled Nursing Facilities

• Review of external medical records and resources to identify a transfer, and receiving facility information

• Rebill accounts through Medicare portal as well as monitor for claims that have been returned or rejected to guarantee prompt correction and resolution





• Complete payment scrape to identify corrected claims that have paid additional reimbursement.

• Execute existing SQL queries to create monthly logs for Medicare Advantage patients

• Use CMS tools to complete estimated additional reimbursements for eligible claims

• Establish and maintain login credentials for Medicare systems used by colleagues

• Other duties as assigned

What you will bring

• Bachelor's degree

• Intermediate Microsoft Suite skills (Ex: Excel and SQL)

• Robust analytical skills and ability to multi-task with attention to detail and accuracy

• Ability to interact effectively with peers, management and customers

• Proficient in communication, research and critical thinking

• Ability to manage tasks independently, work quickly, take ownership of responsibilities and meet deadlines

• Highly comfortable in a team setting

• Process driven, yet adaptable to change when necessary

• Exp

📌 12724-Analyst_Reimbursement Solutions (Gurugram)
🏢 FinThrive
📍 Gurugram