Job Summary Provides senior level support for claims recovery activities including researching ... Research, analysis and data entry skills. Organizational skills and attention to detail. Time ...
Job Summary Provides senior level support for claims recovery activities including researching ... Research, analysis and data entry skills. Organizational skills and attention to detail. Time ...
Senior Specialist, Claims Recovery - Remote
Long Beach, CA · On-site +1
$33K - $73K/yr
Job Summary Provides senior level support for claims recovery activities including researching ... analysis and data entry skills. • Organizational skills and attention to detail. • Time ...
Senior Specialist, Claims Recovery - Remote
Long Beach, CA · On-site +1
$33K - $73K/yr
Job Summary Provides senior level support for claims recovery activities including researching ... analysis and data entry skills. • Organizational skills and attention to detail. • Time ...
Financial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle complex ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
Financial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle complex ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
AVP, Senior Claims Analyst
New York, NY · On-site
For over 25 years, we have helped customers and communities recover and build resilience through ... The AVP, Senior Claims Analyst is responsible for, but not limited to analysing, and processing ...
AVP, Senior Claims Analyst
New York, NY · On-site
For over 25 years, we have helped customers and communities recover and build resilience through ... The AVP, Senior Claims Analyst is responsible for, but not limited to analysing, and processing ...
Sr. Claims Specialist
Richmond, VA · On-site
The Senior Claims Specialist will analyze and determine coverage, manage the claim investigation ... recoveries and risk transfer where warranted. Product lines include General Casualty ...
Sr. Claims Specialist
Richmond, VA · On-site
The Senior Claims Specialist will analyze and determine coverage, manage the claim investigation ... recoveries and risk transfer where warranted. Product lines include General Casualty ...
Senior Claims Analyst
New York, NY · On-site
$95K - $125K/yr
For over 25 years, we have helped customers and communities recover and build resilience through ... The Senior Claims Analyst is responsible for, but not limited to analysing, and processing claims ...
Senior Claims Analyst
New York, NY · On-site
$95K - $125K/yr
For over 25 years, we have helped customers and communities recover and build resilience through ... The Senior Claims Analyst is responsible for, but not limited to analysing, and processing claims ...
Financial Recovery Analyst
Camp Hill, PA · On-site
Overview Financial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
Financial Recovery Analyst
Camp Hill, PA · On-site
Overview Financial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
OverviewFinancial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
OverviewFinancial Recovery Analyst Competitive Hourly Rate ON-SITE BONUS ELIGIBLE Can you untangle ... Manage and resolve outstanding high-dollar insurance claims and aged accounts. * Identify billing ...
Senior Claims Finance Analyst
Columbus, OH · Remote
$63K - $90K/yr
About the Senior Claims Finance Analyst The Senior Claims Finance Analyst plays a crucial role on ... recoveries, subrogation, salvage). * Collaborate with the claims, accounting, actuarial, and data ...
Quick apply
Senior Claims Finance Analyst
Columbus, OH · Remote
$63K - $90K/yr
About the Senior Claims Finance Analyst The Senior Claims Finance Analyst plays a crucial role on ... recoveries, subrogation, salvage). * Collaborate with the claims, accounting, actuarial, and data ...
Senior Claims Specialist
Phoenix, AZ · Hybrid
$61K - $98K/yr
Manages potential claim recoveries of all types * Reports claims to the excess carrier when ... Ability to identify, analyze and solve problems * Computer proficiency and technical aptitude with ...
Quick apply
Senior Claims Specialist
Phoenix, AZ · Hybrid
$61K - $98K/yr
Manages potential claim recoveries of all types * Reports claims to the excess carrier when ... Ability to identify, analyze and solve problems * Computer proficiency and technical aptitude with ...
Senior Claims Analyst
Washington, DC · On-site
Owner's project management firm is seeking an experienced SENIOR CLAIMS ANALYST for work on construction claims. Candidates qualifications must include demonstrated experience with: * Furnishes ...
Senior Claims Analyst
Washington, DC · On-site
Owner's project management firm is seeking an experienced SENIOR CLAIMS ANALYST for work on construction claims. Candidates qualifications must include demonstrated experience with: * Furnishes ...
Revenue Recovery Analyst
$35 - $40/hr
Description JOB SUMMARY The Revenue Recovery Analyst is responsible for coordinating, analyzing ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Revenue Recovery Analyst
$35 - $40/hr
Description JOB SUMMARY The Revenue Recovery Analyst is responsible for coordinating, analyzing ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Senior Claims Specialist
Norristown, PA · Remote
$61K - $98K/yr
Manages potential claim recoveries of all types * Reports claims to the excess carrier when ... Ability to identify, analyze and solve problems * Computer proficiency and technical aptitude with ...
Quick apply
Senior Claims Specialist
Norristown, PA · Remote
$61K - $98K/yr
Manages potential claim recoveries of all types * Reports claims to the excess carrier when ... Ability to identify, analyze and solve problems * Computer proficiency and technical aptitude with ...
Senior Claims Analyst
Huntington Beach, CA · On-site
$70K - $80K/yr
We are looking for a Senior Claims Analyst to join our growing company with many internal opportunities. Are you ready to join a company that is changing the face of health care across the nation?
Quick apply
Senior Claims Analyst
Huntington Beach, CA · On-site
$70K - $80K/yr
We are looking for a Senior Claims Analyst to join our growing company with many internal opportunities. Are you ready to join a company that is changing the face of health care across the nation?
Senior Claims Analyst
Washington, DC · On-site
Owner's project management firm is seeking an experienced SENIOR CLAIMS ANALYST for work on construction claims. Candidates qualifications must include demonstrated experience with: * Furnishes ...
Senior Claims Analyst
Washington, DC · On-site
Owner's project management firm is seeking an experienced SENIOR CLAIMS ANALYST for work on construction claims. Candidates qualifications must include demonstrated experience with: * Furnishes ...
Revenue Recovery Analyst
San Bernardino, CA · On-site
$35 - $40/hr
Job Type Full-time Description JOB SUMMARY The Revenue Recovery Analyst is responsible for ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Revenue Recovery Analyst
San Bernardino, CA · On-site
$35 - $40/hr
Job Type Full-time Description JOB SUMMARY The Revenue Recovery Analyst is responsible for ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Revenue Recovery Analyst
San Bernardino, CA · On-site
$35 - $40/hr
JOB SUMMARY The Revenue Recovery Analyst is responsible for coordinating, analyzing, and executing ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Revenue Recovery Analyst
San Bernardino, CA · On-site
$35 - $40/hr
JOB SUMMARY The Revenue Recovery Analyst is responsible for coordinating, analyzing, and executing ... Strong background in claims processing and claims auditing. Experience with reimbursement ...
Senior Claims Analyst
Roslyn, NY · On-site
$85K - $98K/yr
A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential Duties & Responsibilities: * Follow standard claims ...
Quick apply
Senior Claims Analyst
Roslyn, NY · On-site
$85K - $98K/yr
A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential Duties & Responsibilities: * Follow standard claims ...
Senior Claims Analyst
Trenton, NJ · On-site
$85K - $98K/yr
A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential Duties & Responsibilities: * Follow standard claims ...
Quick apply
Senior Claims Analyst
Trenton, NJ · On-site
$85K - $98K/yr
A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential Duties & Responsibilities: * Follow standard claims ...
Senior Claims Analyst
Rochester, NY · On-site
$85K - $98K/yr
A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential Duties & Responsibilities: * Follow standard claims ...
Quick apply
Senior Claims Analyst
Rochester, NY · On-site
$85K - $98K/yr
A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential Duties & Responsibilities: * Follow standard claims ...
Senior Claims Recovery Analyst information
See salary details
$14.66 - $18.05
14% of jobs
$20.07 is the 25th percentile. Wages below this are outliers.
$18.05 - $21.44
19% of jobs
The median wage is $23.67 / hr.
$21.44 - $24.83
26% of jobs
$24.83 - $28.21
9% of jobs
$29.98 is the 75th percentile. Wages above this are outliers.
$28.21 - $31.60
13% of jobs
$31.60 - $34.99
11% of jobs
$34.99 - $38.37
2% of jobs
$38.37 - $41.76
2% of jobs
$41.76 - $45.15
1% of jobs
$45.15 - $48.54
2% of jobs
$48.54 - $51.92
1% of jobs
$14
$27
$51
How much do senior claims recovery analyst jobs pay per hour?
What is the difference between Senior Claims Recovery Analyst vs Claims Recovery Analyst?
| Aspect | Senior Claims Recovery Analyst | Claims Recovery Analyst |
|---|---|---|
| Required Credentials | Bachelor's degree, relevant certifications (e.g., CPCU, ARM) | Bachelor's degree often preferred, certifications optional |
| Work Environment | Corporate insurance or claims departments, often in larger organizations | Insurance companies, third-party claims firms, or legal offices |
| Employer & Industry Usage | Used in insurance and claims industries for complex recoveries | Common in insurance claims recovery roles across various companies |
The main difference is that a Senior Claims Recovery Analyst typically handles more complex cases, requires more experience and certifications, and may oversee junior staff. A Claims Recovery Analyst generally manages standard recovery tasks. Both roles are vital in insurance recovery processes but differ in scope and seniority.
What is the role of a recovery analyst?
Is a claims analyst a hard job?
How much do claims analysts make in the US?
What is a senior claims analyst?
Full-time
Posted 20 days ago
Molina Healthcare rating
8.0
Based on 192 frontline employees who took The Breakroom Quiz
143rd of 277 rated insurance
Job description
Provides senior level support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards.
Essential Job Duties
Prepares written provider overpayment notification and supporting documentation such as explanation of benefits (EOB), claims and attachments.
Maintains and reconciles department reports for outstanding payment, uncollectible claims and autopayment recoveries.
Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval.
Researches simple to complex claims payments including researching tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers.
Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC), and diagnosis-related group (DRG) requests.
Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application.
Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claims recovery (refund request letters, refund checks, claims reversals), and reporting and documentation of recovery as explained in department Standard Operating Procedures (SOPs).
Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred.
Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers.
Reviews daily and weekly variance reports to ensure quality and correct processing of claims.
Completes weekly and monthly finance refund check reconciliations.
Maintains accounts payable (AP) check provider add process.
Assists with claims staff audits, inquiries, and training as needed.
Supports claims department initiatives to improve overall claims function efficiency.
Meets claims department quality and production standards.
Completes claims projects as assigned.
Required Qualifications
At least 3 years of experience in a clerical role in a claims, and/or customer service setting, and a minimum of 1 year of experience in claims recovery in a Medicaid managed care organization, or equivalent combination of relevant education and experience.
Working knowledge of claims payments, multiple state billing guidelines and claims processing policies and procedures.
Research, analysis and data entry skills.
Organizational skills and attention to detail.
Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Customer service experience.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
Experience in claims adjudication and/or claims examination.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
What Molina Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980