Finance Operations Recovery Specialist III
| Company | Elevance Health |
|---|---|
| Location | Indianapolis, IN, USA, Columbus, GA, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | |
| Experience Level | Mid Level, Senior |
Requirements
- Requires a H.S. diploma or equivalent and a minimum of 4 years of claims processing and/or customer service experience; or any combination of education and experience, which would provide an equivalent background.
Responsibilities
- Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or other research.
- Interacts with staff and management from other departments on a regular basis to ensure customer satisfaction.
- May work with recovery and collection vendors to validate overpayments, validate vendor invoices and provide feedback to modify queries when needed.
- Works closely with contract managers to identify and correct contractual issues, if applicable.
- Handles complex case research and resolution.
- May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required.
- May review and monitor associates work for quality standards.
- May review department policy and procedure manuals for accuracy and works to ensure procedures and polices are accurate and complete.
- Assists in special projects to find and prevent overpayments and to identify process improvements.
- Completes special projects as assigned with minimal supervision.
- Research voluntary refunds for accuracy.
- Requires accurate balancing of all accounts.
Preferred Qualifications
- AA/AS or higher level degree preferred.
- Claims experience preferred.