Claims Support Specialist managing claims adjustments and recoveries at CareMore Health. Auditing paid claims and coordinating benefits with a focus on customer satisfaction.
Responsibilities
Responsible for all claims adjustments recoveries
Audits paid claims for overpayments using various techniques
Coordination of benefits, Medicare, and medical policies
Collection activities to ensure recovery of overpayments
Researches voluntary refunds for accuracy
Requirements
Requires a H.S. diploma
2-4 years of claims processing and/or customer service experience
Any combination of education and experience, which would provide an equivalent background
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