Financial Operations Recovery Specialist II

Role Overview

• Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or other research
• Responsible for more complex issues such as coordination of benefits, Medicare, and medical policies
• Works closely with staff from other departments on a regular basis to ensure customer satisfaction
• Works closely with contract managers to identify and correct contractual issues when applicable
• May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required
• Researches voluntary refunds for accuracy

Requirements

• Requires a H.S. diploma or equivalent
• a minimum of 2 years of claims processing and/or customer service experience
• AA/AS or higher level degree preferred

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs
• medical benefits
• dental benefits
• vision benefits
• short and long term disability benefits
• 401(k) + match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources