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CSR ( Financial Ops Recovery Spec I ) @ Elevancehealth

PHOnsiteFull-time
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About this role

Position Title

CSR ( Financial Ops Recovery Spec I )

Shift

Job Description

  • Responsible for setting up and adjusting claims overpayments that have been previously identified.
  • May do all or some of the following in relation to cash receipts, cash application, claim audits, collections, overpayment vendor validation, and claim adjustments.
  • Primary duties may include, but are not limited to: Reviews and validates paid claims for overpayments using various techniques including system-based queries, specialized reporting, or other research.
  • Determines and calculates amount of overpayments 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 overpayments and maintenance of unprocessed cash and accounts receivable balances and all other cash applications.
  • Requires a H.S. diploma; 1-2 years of claims processing and/or customer service experience; or any combination of education and experience, which would provide an equivalent background.
  • Associate degree preferred.

Skills

claims processingCustomer Servicecash applicationclaim auditcollectionoverpayment vendor validationsystem-based queriesspecialized reportingassociate degree

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