Claims Financial & Recovery Adjustment Specialist jobs in United States
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Summa Health · 1 month ago

Claims Financial & Recovery Adjustment Specialist

positionGreater Cleveland
timeFull-time
remoteHybrid
seniorityEntry, Mid Level
money$21.54/hr - $25.86/hr
date2+ years exp

Summa Health is an integrated healthcare delivery system that includes hospitals, community-based health centers, and insurance plans. The Claims Financial & Recovery Adjustment Specialist is responsible for ensuring payment accuracy and coordinating recoveries of health insurance claims while maintaining accurate documentation.

Health CareMedicalNon Profit

Responsibilities

Performs the necessary tasks to ensure payment accuracy and coordinates recoveries of health insurance claims both internal and external
Maintains accurate documentation and reporting

Qualification

Health insurance claim processingClaims analysisMedical terminologyCPTHCPC’sICD-10 codingMS Office WordMS Office ExcelMS Office AccessClaim typesIndependent judgmentDecision-making skills

Required

High School Diploma or equivalent
Two (2) years progressively responsible experience to include health insurance claim processing; general accounting, posting and/or billing; and claims analysis and reporting
Word, Excel and Access at a basic level, MS-windows based computer environment. Must achieve passing score on test administered by Human Resources
Medical terminology, CPT, HCPC's and ICD-10 coding
Understanding of unique benefits and processing rules for self-funded, Medicare, MEWA, Marketplace and fully-insured plans
Understanding professional (CMS1500) and institutional (UB04) claim types
Independent judgment and decision-making skills
Sit for prolonged periods of time
Bend, stoop and stretch
Lift up to 20 pounds
Manual dexterity to operate computer, phone and standard office machines

Benefits

Basic Life and Accidental Death & Dismemberment (AD&D)
Supplemental Life and AD&D
Dependent Life Insurance
Short-Term and Long-Term Disability
Accident Insurance, Hospital Indemnity, and Critical Illness
Retirement Savings Plan
Flexible Spending Accounts – Healthcare and Dependent Care
Employee Assistance Program (EAP)
Identity Theft Protection
Pet Insurance
Education Assistance
Daily Pay

Company

Summa Health

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Summa Health is a non-profit medical care that offers orthopedic, weight management, sleep medicine, mental, and digestive health services.
dateFounded in 1989
location
Akron, Ohio, USA
people-size5001-10000 employees
web-link
http://www.summahealth.org/

Funding

Current Stage
Late Stage
Total Funding
$14.6M
2024-01-17Acquired
2020-02-07Grant· $1.5M
2019-11-21Grant· $2.1M

Leadership Team

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Cliff Deveny
Advisor/CEO Emeritus
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Recent News

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Company data provided by crunchbase