Financial Operations Recovery Specialist I

Financial Operations Recovery Specialist I

Work location:

Virtual

This role enables associates to work virtually full-time, except for 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 Financial Operations Recovery Specialist I is responsible for setting up and adjusting claims over payments that have been previously identified. May do all or some of the following in relation to cash receipts, cash application, claim audits, collections, over payment vendor validation, and claim adjustments.

Primary duties may include, but are not limited to:

• Reviews and validates paid claims for over payments using various techniques including system-based queries, specialized reporting, or other research.
• Determines and calculates amount of over payments and processes refunds.
• Researches voluntary refunds for accuracy.
• Requires accurate balancing of all accounts.
• Responsible for more routine issues.
• May work with internal staff from other departments to ensure customer satisfaction.
• May perform collection activities to ensure the recovery of over payments and maintenance of unprocessed cash and accounts receivable balances and all other cash applications.

Minimum qualifications:

• Requires a H.S. diploma or equivalent and a minimum of 1 year of claims processing and/or customer service experience; or any combination of education and experience, which would provide an equivalent background.

Preferred qualifications, skills, and experiences:

• AA/AS preferred.
• Previous claims experience and/or experience within the healthcare/health insurance industry is preferred.
• Candidates in alternate locations may apply, considering they are within a reasonable commuting distance of an Elevance Pulse Point office.

For candidates working in person or virtually in the below locations, the salary
* range for this specific position is $19.54/hour to $35.50/hour.

Location:

Virginia, Massachusetts

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). 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.