Manager - Claims Revenue Recovery

Description

Job Title : Manager - Claims Revenue Recovery

Department : Ops - Claims Ops

The Revenue & Recovery Claims Manager is responsible for overseeing the daily operations of the claims recovery and revenue integrity team. This role ensures accurate processing of claims, identification of recovery opportunities, compliance with regulatory and contractual recoupment procedures, and effective resolution of discrepancies. The Manager provides leadership, guidance, and performance management for staff while partnering with internal departments and external stakeholders to optimize revenue and minimize financial risk. Work Environment :

• Hybrid work setting, with potential need to attend meetings onsite.

What You'll Do

Monitor and report on key departmental KPIs, including but not limited to :

Qualifications

Education :

Experience :

Knowledge / Skills :

You're great for this role if :

Environmental Job Requirements and Working Conditions

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

Additional Information :

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change

Astrana Health (NASDAQ : ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.