Remote Overpayments Recovery Specialist II

Elevance Health; Norfolk (VA); Remote; USD 32,000 - 48,000; Full time

Job summary

Elevance Health is seeking a Financial Operations Recovery Specialist II to join our team in Virginia with flexible virtual options. The role centers on recovering overpayments, validating claims, and adjusting payables while coordinating with COB, Medicare, and medical policies.

Successful candidates will have a HS diploma with 2+ years in claims processing or customer service, attention to detail, and the ability to balance accounts.

Qualifications

• Requires a H.S. diploma or equivalent and a minimum of 2 years of claims processing and/or customer service experience.

Responsibilities

• Audits paid claims for identified overpayments using systems-based queries, reporting, or other research.
• Responsible for complex issues such as coordination of benefits, Medicare, and medical policies.
• Works with staff from other departments to ensure customer satisfaction.
• Collaborates with contract managers to identify and correct contractual issues when applicable.
• May perform collection activities to recover overpayments and manage cash applications and AR processes.
• Researches voluntary refunds for accuracy.
• Requires accurate balancing of all accounts.

Skills

claims processing

customer service

attention to detail

Education

HS diploma or equivalent

AA/AS or higher

Job description

Elevance Health is seeking a Financial Operations Recovery Specialist II to join our team in Virginia with flexible virtual options. The role centers on recovering overpayments, validating claims, and adjusting payables while coordinating with COB, Medicare, and medical policies.

Successful candidates will have a HS diploma with 2+ years in claims processing or customer service, attention to detail, and the ability to balance accounts.