Anthem, Inc. Fin Ops Recovery Spec Ld in Brooklyn, New York
SHIFT: Day Job
Responsible 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, claims audits, collections, overpayment vendor validation, and claims adjustments.
Primary 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.
Interacts with staff and management from various departments on a regular basis to ensure high-quality customer satisfaction.
May work with external vendors and internal data mining to validate overpayments, validate vendor invoices and provide feedback to modify queries when needed.
Work closely with management to identify and correct contractual issues, if applicable.
Handles complex case research and resolution.
May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivables processes and all other cash applications.
Assists in special projects to find and prevent overpayments or to identify process improvements.
Completes special projects with minimum supervision.
Researches voluntary refunds for accuracy.
Requires accurate balancing of all accounts.
Trains new associates and provides on-going training to Financial Ops Processors /Recovery Specialists.
Assists with collecting samples each month from each Recovery Specialists to audit for Quality.
Distributes work to staff and supports management on a daily basis, including maintaining of inventory reports.
Requires a H.S. diploma; 4+ years of claims processing and/or customer service experience; or any combination of education and experience, which would provide an equivalent background. Associate¿s degree or higher-level degree preferred.
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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.