- 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.
- 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 and maintenance of unprocessed cash and accounts receivable balances and all other cash applications.
- AA/AS preferred.
- Knowledge of healthcare recoveries preferred.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
-
Recovery Specialist
6 days ago
RWJBarnabas Health Township of Hamilton, United States**Job Overview**: · The Recovery Specialist will assist individuals with a substance-use disorder by serving as a role model, advocate, and motivator. Through lived experience, the Recovery Specialist will provide non-clinical individual and group support to develop a recovery ca ...
-
Community Health Network Indianapolis, United StatesJoin Fairbanks · For more than 75 years, the name Fairbanks has been known for the best in evidence-based drug and alcohol addiction treatment. At Community Fairbanks Recovery Center, we offer the full range of scientifically supported treatments from individual one-to-one counse ...
-
Community Health Network Indianapolis, United StatesJoin Community · Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means gettin ...
-
Certified Peer Recovery Specialist 5007
1 week ago
Meridian Health Services Indianapolis, United StatesJob Description · Job DescriptionFocusing on "Whole-Person" Healthcare · Text 5007 to for Quick Apply · Meridian Health Services is a progressive healthcare organization that believes in treating the "whole-person" integrating physical, mental and social well-being to help people ...
-
Certified Peer Recovery Support Specialist
1 week ago
Lighthouse Behavioral Health Solutions Marion, United StatesLighthouse Behavioral Health Solutions Opportunity: · Lighthouse Behavioral Health Solutions (LBHS) provides individual, outpatient, intensive outpatient, partial hospitalization, residential, psychiatric services, and medication assisted treatment for mental health and substanc ...
-
OhioGuidestone Marion, United States Part time** Part-Time Certified Peer Recovery Support Specialist** · **Job Category****:** Paraprofessional Clinical **Requisition Number****:** RECOV004617 Showing 1 location **Job Details** · **Description** · **Recovery is possible with OhioGuidestone. A leader in the field of behav ...
-
Certified Recovery Specialist
1 week ago
Aspire Indiana Health, Inc. Carmel, United StatesOverview: · WE SERVE ALL. WE HIRE ALL. WE ACCEPT ALL. · Now interviewing for a full-time Certified Recovery Specialist in Hamilton County · **MUST LIVE IN INDIANA** · Aspire Indiana Health is a nonprofit provider of comprehensive whole health services including primary medic ...
-
Subrogation Specialist
1 day ago
Fleet Response Indianapolis, United States**Eligibility for Sign On Bonus**_ · - Are you interested in joining a fast growing and customer focused company that is consistently rated as one of the Top Workplaces in Northeast Ohio? Do you feel that hard work should pay off and you value things like workplace flexibility, c ...
-
System Engineer
2 weeks ago
Horizon Dynamics Marion, United StatesBe more than just an employee - become part of our crew Your career at Kramer & Crew. · To strengthen our crew at the location of your choice, we are looking for a System Engineer (m/f/d) Backup & Recovery to start as soon as possible. · Your tasks · You support your team in the ...
-
Certified Peer Recovery Specialist 5008
5 days ago
Meridian Health Services Mooresville, United StatesJob Description · Job DescriptionText 5008 to to Quick Apply for this Certified Peer Recovery Specialist opportunity · Focusing on "Whole-Person" Healthcare · Meridian Health Services is a progressive healthcare organization that believes in treating the "whole-person" integratin ...
-
Cummins Behavioral Health Systems Avon, United StatesPeer Recovery Specialist with Family-lived Experience · CCBHC · Avon, IN, USA · Full Time · Email Me This Job · At Cummins, we believe that people with lived experience hold valuable roles within our clinical treatment teams- we know that Peers make a difference Due to expansion, ...
-
Coach On-The-Job Training
1 week ago
Volunteers of America Ohio-Indiana Indianapolis, IN, United StatesVolunteers of America Ohio & Indiana seeks energetic, self-motivated, dynamic professionals to join its expanding team. VOAOHIN is dedicated to helping those in need rebuild their lives and reach their full potential. As an organization stretching across Ohio and Indiana we have ...
-
Subrogation Specialist
1 week ago
Calculated Hire Indianapolis, United StatesSubrogation Specialist · Remote - Pittsburgh, Columbus, Indy · Full-Time · $52k+/year · Our client is seeking qualified Subrogation Specialists to join their team in Hudson, Ohio The Subrogation Specialist is responsible for the subrogation investigation, negotiation, and recover ...
-
Peer Support Specialist
1 week ago
Pinnacle Treatment Centers Marion, United States** Peer Support Specialist** · **Job Category****:** Clinical **Requisition Number****:** PEERS007179 Showing 1 location **Job Details** · **Description** · **Peer Support Specialist** · **We offer competitive salary, full benefits package, Paid Time Off, and opportunities fo ...
-
rn preop pacu
1 week ago
Surgical Care Affiliates , IN, United StatesOverview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and healt ...
-
patient access specialist
1 week ago
Aspire Indiana Health, Inc Indianapolis, IN , USA, United StatesWE SERVE ALL. WE HIRE ALL. WE ACCEPT ALL. · Now interviewing for Patient Access Specialist - Indianapolis - Willowbrook location · Aspire Indiana Health is a nonprofit provider of comprehensive "whole health" services including primary medical care, behavioral health, recovery s ...
-
rn preop pacu
1 week ago
Surgery Care Affiliates , IN, United StatesOverview · Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and hea ...
-
Technical Support Specialist
1 week ago
Hickory Recovery Indianapolis, United StatesJob Description · Job DescriptionHickory Recovery Network is looking for a Technical Support Specialist - Tier 1 to support our rapidly growing Healthcare Facilities and Corporate Offices. We are looking for a passionate and energetic candidate who has an enthusiasm for technolog ...
-
Peer Support Specialist
2 days ago
Adult & Child Health Indianapolis, United StatesJob Description · Job DescriptionDescription:Adult & Child Health is a growing 501c (3) not-for-profit integrated healthcare organization based in Indianapolis servicing multiple locations. A&C is committed to a diverse and inclusive workforce . We offer flexibility, generous PTO ...
-
IT CYBERSECURITY SPECIALIST
2 weeks ago
Department of Defense Indianapolis, IN, United StatesDuties · • Provides expert guidance and technical support to IT specialists regarding the requirements analysis, design, programming, testing, and implementation. · • Monitors database performance, file organization and structure, file management, mass storage management, backup ...
Financial Operations Recovery Specialist I - Indianapolis, United States - Elevance Health
Description
Financial Operations Recovery Specialist ILocation:
The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point.
The Financial Operations Recovery Specialist I is responsible for setting up and adjusting claims overpayments that have been previously identified.
May do all or some of the following in relation to cash receipts, cash application, claim audits, collections, overpayment vendor validation, and claim adjustments.
How you will make an impact:
Minimum Requirements:
Requires a H.S.
diploma and a minimum of 1 year of claims processing and/or customer service experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $17.17 to $34.
Locations:
California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.
The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.
We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
Financial Operations Recovery Specialist I professionals in Indianapolis
-
Destiny Raymond
Shift Supervisor
-
Charis Dulin
Legal Nurse Consultant