Elevance Health

Recovery Specialist Associate – Call Center

Elevance Health

full-time

Posted on:

Location Type: Hybrid

Location: Waukesha • Kentucky • Wisconsin • United States

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About the role

  • Identify, track, and reconcile overpayments made to providers
  • Ensure that recovery is made and reported under general supervision
  • Perform all authorized duties in the processing of overpayments allocated to the assigned market
  • Provide exceptional service to member, providers, group administrators and attorneys
  • Identify, review, set up or close health insurance subrogation claims via phone, fax, email or mail
  • Collect, record and verify member information, accident details, attorney information, and liability information
  • Record detailed and accurate file notes obtained from calls or written correspondence
  • Manage high-volume intake calls and correspondence effectively
  • Determine membership eligibility using various job aids and membership systems
  • Respond to calls, letters, faxes and emails from policyholders, agents, vendors and/or providers
  • Show initiative and resourcefulness in solving problems and meeting customer needs
  • Develop relationships with other business units and service partners
  • Adhere to company and department policies and procedures as well as HIPAA regulations

Requirements

  • Requires H.S. diploma or GED preferred
  • a minimum 2 years of claims or data entry experience
  • Prior call center experience strongly preferred
  • Medical claims processing experience preferred
  • Proficiency with Microsoft Office products (Outlook, MS Teams, Excel, PowerPoint and Word) and software programs preferred
  • Excellent communications skills both oral and written preferred
  • Strong problem-solving skills preferred.
Benefits
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Applicant Tracking System Keywords

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Hard Skills & Tools
claims processingdata entrymembership eligibility determinationsubrogation claims managementoverpayment reconciliationfile note recording
Soft Skills
communication skillsproblem-solving skillsinitiativeresourcefulnessrelationship building
Certifications
H.S. diplomaGED