Recovery Specialist Associate – Call Center

Role Overview

• identify, track, and reconcile overpayments made to providers
• ensure that recovery is made and reported under general supervision
• perform all authorized duties in the processing of overpayments
• provide exceptional service to members, providers, group administrators, and attorneys
• manage high-volume intake calls and correspondence inventory effectively
• determine membership eligibility using various job aids and membership systems
• respond to calls, letters, faxes, and emails from policyholders, agents, vendors, and/or providers
• develop relationships with other business units and service partners
• adhere to company and department policies and procedures as well as HIPAA regulations

Requirements

• H.S. diploma or GED preferred
• a minimum 2 years of claims or data entry experience
• prior call center experience strongly preferred
• medical claims processing experience preferred
• Proficiency with Microsoft Office products (Outlook, MS Teams, Excel, PowerPoint and Word) and software programs preferred
• excellent communications skills both oral and written preferred
• prior health care experience preferred
• strong problem-solving skills preferred

Benefits

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution
• paid holidays
• Paid Time Off
• medical, dental, vision
• short and long term disability benefits
• wellness programs
• financial education resources