Senior Claims Finance & Recovery Specialist

Summa Health; Cleveland (OH); On-site; USD 31,000 - 37,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision care

Life insurance

Paid time off

Retirement plan

Flexible Spending Accounts

Employee Assistance Program

Identity Theft Protection

Job summary

SummaCare, based in Akron, OH, seeks a Senior Claims Financial & Recovery Adjustment Specialist to ensure payment accuracy and coordinate recoveries of health insurance claims. The role requires three years in health insurance claim processing, knowledge of coding and claim types, and strong documentation skills.

Full-time position located in Akron, Ohio, with a comprehensive benefits package and competitive hourly pay.

Qualifications

• High School Diploma or equivalent.
• 3 years progressively responsible experience in health insurance claim processing; general accounting, posting and/or billing; and claims analysis and reporting.
• Medical terminology, CPT, HCPCS and ICD-10 coding.
• Understanding of CMS1500 and UB04 claim types, and plans (self-funded, Medicare, MEWA, Marketplace, fully-insured).
• Independent judgment and decision-making skills.

Responsibilities

• Performs tasks to ensure payment accuracy and coordinates recoveries of health insurance claims (internal and external).
• Maintains accurate documentation and reporting.

Skills

Health insurance claims processing

Accounting & posting

Claims analysis

Independent judgment

Education

High School Diploma or equivalent

Tools

MS Word

Excel

Access

Job description

SummaCare, based in Akron, OH, seeks a Senior Claims Financial & Recovery Adjustment Specialist to ensure payment accuracy and coordinate recoveries of health insurance claims. The role requires three years in health insurance claim processing, knowledge of coding and claim types, and strong documentation skills.

Full-time position located in Akron, Ohio, with a comprehensive benefits package and competitive hourly pay.