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    Financial Operations Recovery Specialist I - Miami, United States - Elevance Health

    Elevance Health
    Elevance Health Miami, United States

    1 week ago

    Default job background
    Paid Work
    Description

    Financial Operations Recovery Specialist I

    Location: 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:

    • 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.

    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:

    • AA/AS preferred.
    • Knowledge of healthcare recoveries preferred.

    For candidates working in person or remotely in the below locations, the salary* range for this specific position is $17.17 to $34.42

    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.

    • 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.

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