Recovery Specialist I
Location: This is a virtual position, the ideal candidate will live within 50 miles of one of the following Elevance Health PulsePoint locations; Indianapolis, IN, Cincinnati, OH, Roanoke, VA, Latham, NY, Columbus, GA or South Portland, ME.
Federal Health Products and Services - FHPS, a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the foundation upon which we are creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
The Recovery Specialist I is responsible for handling overpayments or reimbursement from other parties who may be liable for payment of claims. This level handles more routine issues.
How you will make an impact:
- Determines and calculates amount of overpayment.
- Issues refund request letters, notice letters, or med lists.
- Processes voluntary refunds.
- Adjusts claims based on refund received.
Minimum Requirements:
- Requires H.S. diploma or equivalent and a minimum of 2 years experience in claims and/or customer service; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
- Knowledge of relevant claims systems and related software and good PC skills strongly preferred.
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