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Full Time Reconsideration Analyst Jobs (NOW HIRING)

Armada Ltd

Adjudication Specialist

Rockville, MD · On-site

Type: Full Time Location: Rockville, MD (National Capital Region) Overtime Exempt: Yes Reports to ... Identify and analyze derogatory and mitigation information for suitability 5 CFR 731 through 737 ...

Ourhrconnect

Create and analyze reports to support operations. Ensure the correctness of analysis and report ... This position is full-time (40-hours/week) Monday-Friday and can be worked remotely. You will work ...

Ourhrconnect

Create and analyze reports to support operations. Ensure the correctness of analysis and report ... This position is full-time (40-hours/week) Monday-Friday and can be worked remotely. You will work ...

Ourhrconnect

Create and analyze reports to support operations. Ensure the correctness of analysis and report ... This position is full-time (40-hours/week) Monday-Friday and can be worked remotely. You will work ...

Ourhrconnect

Create and analyze reports to support operations. Ensure the correctness of analysis and report ... This position is full-time (40-hours/week) Monday-Friday and can be worked remotely. You will work ...

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Full Time Reconsideration Analyst information

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$49K

$88.6K

$123.5K

How much do full time reconsideration analyst jobs pay per year?

As of Jul 15, 2026, the average yearly pay for full time reconsideration analyst in the United States is $88,569.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $99,500.00 per year, depending on experience, location, and employer.

What is a Full Time Reconsideration Analyst?

A Full Time Reconsideration Analyst is a professional who reviews and evaluates appeals or requests for reconsideration, typically within industries like healthcare, insurance, or finance. Their primary role is to re-examine decisions that were previously made, such as claim denials or benefit determinations, to ensure accuracy, fairness, and compliance with company policies and regulations. They analyze documentation, communicate with stakeholders, and provide recommendations or final determinations based on their findings. This position requires strong analytical, communication, and decision-making skills, as well as attention to detail and knowledge of relevant laws and procedures.

What are some common challenges faced by Full Time Reconsideration Analysts, and how can they be effectively managed?

Full Time Reconsideration Analysts often encounter challenges such as handling high volumes of complex appeals, interpreting diverse policies and regulations, and managing tight deadlines. To effectively manage these, strong organizational skills and attention to detail are crucial, as well as the ability to communicate clearly with both internal teams and external clients. Collaborating closely with peers and staying updated on regulatory changes can also help analysts resolve cases accurately and efficiently while minimizing stress.

What are the key skills and qualifications needed to thrive as a Full Time Reconsideration Analyst, and why are they important?

To thrive as a Full Time Reconsideration Analyst, you need strong analytical abilities, attention to detail, and a solid understanding of claims processes, often supported by a relevant bachelor's degree or equivalent experience. Familiarity with claims management software, electronic document systems, and regulatory guidelines is typically required. Excellent written communication, critical thinking, and problem-solving skills help you effectively review cases and interact with stakeholders. These skills are crucial for ensuring accurate, fair reconsideration decisions that uphold compliance and customer satisfaction.

What is the difference between Full Time Reconsideration Analyst vs Customer Service Representative?

AspectFull Time Reconsideration AnalystCustomer Service Representative
Required credentialsHigh school diploma or equivalent; some roles may prefer related certificationsHigh school diploma or equivalent
Work environmentOffice setting, analyzing cases, reviewing reconsideration requestsCall center or retail environment, assisting customers directly
Employer and industry usageFinancial institutions, insurance companies, healthcare providersRetail, telecommunications, service industries
Common search and comparison intentUnderstanding roles involving case review and decision reconsiderationCustomer support and communication roles

The Full Time Reconsideration Analyst primarily reviews and processes reconsideration requests within financial or healthcare sectors, requiring analytical skills. In contrast, Customer Service Representatives focus on assisting customers directly, often in retail or service industries. While both roles involve communication, the analyst role emphasizes case review and decision-making, whereas the customer service role centers on direct customer interaction.

What are the most commonly searched types of Reconsideration Analyst jobs? The most popular types of Reconsideration Analyst jobs are:
Full Time Reconsideration Analyst jobs near you
Infographic showing various Full Time Reconsideration Analyst job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $88,569 per year, or $42.6 per hour.
Managed Care Billing Specialist*

Managed Care Billing Specialist*

The New Jewish Home

Bronx, NY • On-site

$20.50 - $27.50/hr

Full-time

Re-posted 16 days ago

Job description

The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. 

The Managed Care Specialist is responsible for resolving managed care denied and underpaid claims timely.

Responsibilities

  • Must be able to understand managed care contracts, create project spreadsheets for submission to payers, write reconsideration appeals and send to MCOs, and be able to communicate both internally and externally for resolution of claim disputes.
  • Collaborate with all MCO payers to resolve payment errors and underpayments.
  • Submit monthly excel reports and written appeals letters to resolve external underpayments in a timely fashion.
  • Track MCO responses
  • Complete understanding of billing system (Netsmart/ MyUnity) is needed to identify payment discrepancies, monitor and track performance of recoveries, meet goals, audit claim payments, and identify other issues affecting AR.
  • Work closely with Revenue Cycle Director and Director and resolve issues as they arise.
  • Other duties as assigned by Director of Revenue Cycle

Qualifications

Knowledge, Skills and Abilities Required:

  • Minimum 5 years’ experience in health insurance, skilled nursing home billing is required
  • Must Understand Medicare, Managed Care, Medicaid (NY) billing and reimbursement
  • Prior experience working with managed care claims and appeals processes for skilled nursing home is required
  • Must have fluency working with billing system
  • Understanding of EOBs, remittance advice
  • Full understanding of managed care contracts and payment methodologies
  • Strong skills with Excel, Patient Accounting systems and Provider Portals
  •  Strong communication skills and ability to de-escalate conversations to achieve organizational goals
  • Ability to work independently, meet deadlines, troubleshoot, and present findings
  • Must be detail-oriented with strong critical thinking and organization skills

Education

  • Bachelor's Degree in a related field

Specialized Skills and Competencies:

  • Work requires an extensive knowledge of business and an excellent command of the English language, both written and verbal.
  • Must have knowledge of office administrative procedures, and familiarity with the use and operation of standard office equipment, at a level generally acquired through 5+ years of related experience.
  • Must have knowledge of a variety of computer software applications in word processing, spreadsheets, database and presentation software including Word, PowerPoint, Excel and other programs as needed.
  • Must have high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy.
  • Some analytical ability is required in order to gather and summarize data for reports, find solutions to various administrative problems, and prioritize work.
  • Work requires continual attention to detail in composing, typing and proofing materials, establishing priorities and meeting deadlines.
  • Ability to plan and conduct duties in accordance with age appropriate capabilities and needs of the elderly and adult population.

Job Qualifications:

  1. Bachelor’s Degree required for new hires.
  2. 3 – 5 Years related experience
  3. Keyboard skill – 50 – 55 WPM
  4. Board minutes writing experience.

Physical Demands: 

Able to sit for long periods of time at the computer.  Walking, sitting, standing or lifting while in the office environment limited to files and records not expected to exceed ten (10) pounds in weight.

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