Elevance Health

Financial Operations Recovery Specialist I

Elevance Health

full-time

Posted on:

Location Type: Hybrid

Location: Columbus • Florida, Ohio, Virginia • 🇺🇸 United States

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Job Level

Junior

About the role

  • Reviews and validates paid claims for overpayments using various techniques including system-based queries, specialized reporting, or other research
  • Determines and calculates amount of overpayments and processes refunds
  • Researches voluntary refunds for accuracy
  • Requires accurate balancing of all accounts
  • May work with internal staff from other departments to ensure customer satisfaction
  • May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable balances

Requirements

  • Requires a H.S. diploma or equivalent
  • a minimum of 1 year of claims processing and/or customer service experience
  • Strong medical claims processing experience highly preferred
  • Proficient in Microsoft Excel
Benefits
  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical benefits
  • dental benefits
  • vision benefits
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
claims processingoverpayment calculationrefund processingaccount balancingcollection activitiesaccounts receivable managementdata analysisreportingsystem-based queriescustomer service
Soft skills
attention to detailcommunicationcollaborationproblem-solvingcustomer satisfaction focus
Certifications
H.S. diploma or equivalent