Healthcare Collections Analyst

Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified, and a recipient of the 2025 CandE Award for Candidate Experience. Applicants must already be legally authorized to work in the U.S. Visa sponsorship or other immigration support are not available for this position. Key Responsibilities Process medical insurance claim overpayments identified through Lyric’s data mining efforts, including posting recoveries, adjustments, offsets, and conducting collection activities to secure refund checks. Validate overpayments based on policy instructions and claim coding details; maintain a library of instructions for validating specific audit concepts, client rules, and system processing instructions. Assist in identification processes and audit concept improvements to maximize client return. Perform support and general administration tasks, such as data entry, tracking correspondence, generating and mailing letters. Conduct outbound calls to healthcare providers to request payment recovery in a professional, courteous, and respectful manner; clearly communicate payment requests, claim details, and supporting information. Collaborate with internal teams to resolve discrepancies or provider questions efficiently. Review claims for missing or incomplete information, calculate payment, and validate identified overpayments. Manage unresolved accounts receivable under guidance, contacting providers to collect payment and identify issues with unpaid accounts. Understand client specific policies related to claim payments, provider manual and member benefits. Maintain legal compliance by following company policies, client policies, procedures, guidelines, and state and federal regulations. Recognize and report system issues. Prepare basic internal and external reports by collecting, analyzing, and summarizing information. Maintain productivity goals and standards set by the department; execute functions with focus on accuracy and quality. Complete special projects as assigned. Required Qualifications Minimum of one (1) year experience in administration support or data entry. High school diploma. Preferred Qualifications One (1) year experience in a healthcare claims operations environment. College degree in a related field. Excellent verbal and written communication skills. Strong MS Office skills (Word, Excel, PowerPoint). Strong organization and time‑management skills. Ability to work in a fast‑paced environment; flexibility to handle multiple priorities. Compensation US base salary range for this full‑time position is provided to prospective candidates. Compensation is influenced by a variety of factors including but not limited to the candidate’s relevant experience, education, and work location. The salary listed in US role postings reflects the base salary only, and does not include total rewards compensation. Equal Opportunity Employer Lyric is an Equal Opportunity Employer that strives to create an inclusive environment, empower employees, and embrace collaborative success. #J-18808-Ljbffr