Recovery Specialist I

The Elevance Health Companies, Inc.; Roanoke (VA); Remote; USD 27,000 - 45,000; Full time

Benefits offered by this job

Comprehensive benefits package

401(k) matching

Job summary

Elevance Health is seeking a Recovery Specialist I for virtual work with occasional in-person training. You will handle overpayments, issue refund letters, process voluntary refunds, and adjust claims accordingly.

This is a non-management, non-exempt role with a focus on accuracy and timely communication. The position requires a high school diploma and at least two years in claims or customer service, with FEP claims/adjustments experience strongly preferred.

Qualifications

• HS diploma or equivalent required; minimum 2 years experience in claims and/or customer service or combination thereof.
• Experience with FEP Claims/Adjustments strongly preferred is a plus.
• Knowledge of claims software and good PC skills preferred.

Responsibilities

• Determine and calculate amount of overpayment.
• Issue refund request letters, notice letters, or med lists.
• Process voluntary refunds and adjust claims based on refunds received.

Skills

Customer service

Claims knowledge

Education

High School Diploma or equivalent

Tools

Claims systems

PC skills

Job description

Job Description

Recovery Specialist I

Location: Virtual. This role enables associate to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Recovery Specialist I is responsible for handling overpayments or reimbursement from other parties who may be liable for payment of claims. This level handles more routine issues.

How you will make an impact

Determines and calculates amount of overpayment. Issues refund request letters, notice letters, or med lists. Processes voluntary refunds. Adjusts claims based on refund received.

Minimum Requirements

• Requires H.S. diploma or equivalent and a minimum of 2 years experience in claims and/or customer service; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences

• FEP Claims/Adjustments experience STRONGLY PREFERRED
• Knowledge of relevant claims systems and related software and good PC skills strongly preferred.

Location(s)

• Latham, NY, Roanoke, VA

Salary

• $ 19.54 per hour to $32.51 per hour

Benefits

• comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)

Additional Compensation Information

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 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.

Work Shift & Job Family

Job Level: Non-Management Non-Exempt. Workshift: Job Family: AFA > Financial Operations

Company Culture

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. Our values and behaviors are the root of our culture. 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.

Elevance Health operates in a Hybrid Workforce Strategy. 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.

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 and Influenza. 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.

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

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.

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration

Elevance Health is an Equal Opportunity Employer/Disability/Veterans.