Job Details

ID #2216281
State California
City Newburypark
Full-time
Salary USD TBD TBD
Source Anthem
Showed 2019-05-04
Date 2019-05-04
Deadline 2019-07-03
Category Et cetera
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Financial Operation Recovery Specialist II - Remote - PS21024

California, Newburypark 00000 Newburypark USA

Vacancy expired!

Financial Operation Recovery Specialist II - Remote - PS21024Location: Ohio, United StatesNewField: Accounting/Finance/AuditingRequisition #: PS21024Your Talent. Our Vision. At Anthem, Inc ., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.Financial Operations Recovery Specialist IILocation: This is a remote, work-from-home position in the United StatesHours: Monday through Friday, 9:00am – 6:00pm ESTResponsible 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 adjustmentsPrimary duties may include, but are not limited to:

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.

Qualifications:Required

Requires a H.S. diploma or equivalent;

2-4 years of claims processing and/or customer service experience;

Or, any combination of education and experience, which would provide an equivalent background.

Preferred

Associate degree or higher-level degree

GBD FACETS experience

MS Excel proficiency

Collections and claims experience

Healthcare experience

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

Vacancy expired!

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