Medical Benefit Review Services Associate

8.00/hour (based on experience), which may be below your state's minimum wage. Please take this into consideration when applying. Schedule: Monday-Friday | 8:00 AM -4:30 PM EST Location: Fully Remote About this role: Are you experienced in various types of medical benefits and services? We're looking for a detail-oriented healthcare professional who enjoys solving complex insurance billing and coverage issues and working in a fast-paced remote environment. Medical Benefit Review Services Associate IIis responsible for providing analytical support to CPIS overpayment programs via access to the client claims systems related to Medicare, Medicaid and Commercial claim overpayments identified through various audits. If you have strong analytical skills, enjoy researching insurance eligibility and medical claims and take pride in delivering accurate, high-quality work, we'd love to hear from you. Key Responsibilities: Responsibilities include (but are not limited to): Review of paid claims, adjusted claims, and offset claims in the client system. Review of member eligibility, update of member eligibility. Investigates and communicates…