Anthem Inc. Marketing Jobs

Job Information

Anthem, Inc. Fin Ops Recovery Spec Ld in Colorado Springs, Colorado

Description

SHIFT: Day Job

SCHEDULE: Full-time

  • 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.

Qualifications

  • 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.

    REQNUMBER: PS52294

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