Financial Operations Recovery Specialist validating claims and processing overpayment refunds at Elevance Health. Collaborating with internal teams to ensure customer satisfaction and maintaining accounts receivable.
Responsibilities
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
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