Senior Healthcare Reclamation Analyst

Location: Remote within the United States only

Salary: $52,000–$58,000 per year

Company

hirify.global is a healthcare intelligence company providing an AI-powered platform and expertise to help health plans improve payment outcomes and reduce healthcare costs.

What you will do

• Review client data, payer correspondence, 277 rejections, and explanations of benefits to determine eligibility, coordination of benefits, and payment responsibility.
• Investigate and resolve complex eligibility, primacy, claims, denial, and payment discrepancies.
• Communicate with healthcare insurance carriers and providers regarding claim responses, coverage, and required account actions.
• Document contacts, demographic updates, account statuses, research findings, and resolution activities in company systems.
• Support inventory assessment, reporting, reconciliations, testing, analytics reviews, and new client program launches.
• Contribute to workflow improvements, scripts, guidelines, best practices, and operational tools.

Requirements

• At least 4 years of directly related experience in billing reclamation, recovery, denial management, coordination of benefits, third-party liability, or similar work.
• At least 1 year of experience contributing to operational initiatives, data reporting and analysis, new client or program setup, workflow projects, training, or subject-matter leadership.
• Strong knowledge of healthcare, medical terminology, medical coding, coordination of benefits, third-party liability, and accounts receivable.
• Experience interpreting 277 rejections and explanations of benefits and resolving standard and complex payment issues.
• Intermediate to advanced Microsoft Excel skills and experience analyzing large data sets.
• Ability to work remotely from within the United States and obtain required client clearances and pass background or drug screening.

Culture & Benefits

• Digital-first, remote work environment for US-based employees.
• Medical, dental, and vision insurance options.
• FSA/HSA and additional health and wellness benefits.
• Tuition reimbursement.
• 401(k) with company match.
• Flexible environment with autonomy and trust.