Financial Operations Recovery Specialist II

Elevance Health; Norfolk (VA); Remote; USD 73,000 - 82,000; Full time

Job summary

Elevance Health is seeking a Financial Operations Recovery Specialist II to manage claims overpayments and perform necessary collection activities. This role requires strong customer service and claims processing skills, offering the flexibility to work virtually full-time with in-person training. Ideal candidates will have at least 2 years of relevant experience and a commitment to customer satisfaction.

Qualifications

• Minimum 2 years of claims processing or customer service experience required.
• Experience in a call center environment strongly preferred.

Responsibilities

• Discover, validate, recover, and adjust claims overpayments.
• Perform collection activities for overpayment recovery.

Skills

Claims processing

Customer service

Education

H.S. diploma or equivalent

AA/AS or higher degree

Job description

Financial Operations Recovery Specialist II

Join to apply for the Financial Operations Recovery Specialist II role at Elevance Health

Financial Operations Recovery Specialist II

3 days ago Be among the first 25 applicants

Join to apply for the Financial Operations Recovery Specialist II role at Elevance Health

The Financial Operations Recovery Specialist II is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments. 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. Requires accurate balancing of all accounts. Requires a H.S. diploma or equivalent and a minimum of 2 years of claims processing and/or customer service experience; or any combination of education and experience, which would provide an equivalent background. AA/AS or higher level degree preferred. Claims processing experience strongly preferred. Experience working in a call center environment strongly preferred. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. Shift: M-F 9:30am to 6:00pm.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Elevance Health by 2x

Sign in to set job alerts for “Financial Professional” roles.

Virginia Beach, VA $70,000 - $85,000 2 weeks ago

Chesapeake, VA $120,000 - $160,000 1 month ago

Virginia Beach, VA $90,000 - $110,000 9 months ago

Virginia Beach, VA $85,000 - $130,000 14 hours ago

Norfolk, VA
$73,000.00
-
$82,000.00
4 days ago

Norfolk, VA
$75,000.00
-
$80,000.00
2 days ago

Sr. Analyst, Asset Management (Direct Equity)

Chesapeake, VA
$85,040.00
-
$162,550.00
2 days ago

Norfolk, VA
$57,100.00
-
$116,100.00
1 week ago

Virginia Beach, VA $80,000 - $100,000 3 weeks ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.