Financial Operations Recovery Specialist I

Financial Operations Recovery Specialist I is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.

Requirements

• Participate in claims workflow projects.
• Respond to telephone and written inquiries and initiate steps to assist callers regarding issues relating to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of claims.
• Adjusts voids and reopens claims on-line within guidelines to ensure proper adjudication.
• May have customer/client contact.
• May assist with training of staff.
• Works without significant guidance.

Benefits

• Paid Time Off
• 401(k) + match
• Medical
• Dental
• Vision
• Short and long term disability benefits
• Financial education resources