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Financial Operations Recovery Specialist I
Elevance HealthFinancial Operations Recovery Specialist I at Elevance Health handling claims overpayments. Engaging in cash applications and customer satisfaction through refunds and validation techniques.
About the role
Key responsibilities & impact- Reviews and validates paid claims for overpayments using various techniques
- Determines and calculates amount of overpayments and processes refunds
- Researches voluntary refunds for accuracy
- Requires accurate balancing of all accounts
- Responsible for more routine issues
- May work with internal staff from other departments to ensure customer satisfaction
- May perform collection activities to ensure the recovery of overpayments
Requirements
What you’ll need- Requires a H.S. diploma or equivalent
- minimum of 1 year of claims processing and/or customer service experience
- AA/AS preferred
- Medicare/Medicaid claims experience preferred
- Facets experience preferred
- Microsoft Office Suite experience preferred
- Critical thinking skills preferred
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processingoverpayment calculationrefund processingaccount balancingcollection activities
Soft Skills
critical thinkingcustomer satisfaction
Certifications
H.S. diplomaAA/AS degree