Financial Operations Recovery Specialist II jobs in United States
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Elevance Health ยท 1 day ago

Financial Operations Recovery Specialist II

Elevance Health is a health company dedicated to improving lives and communities, and they are seeking a Financial Operations Recovery Specialist II. This role involves the discovery, validation, recovery, and adjustments of claims overpayments, as well as collaborating with other departments to ensure customer satisfaction and performing collection activities.

Health CareHealth InsurancePersonal HealthWellness
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H1B Sponsor Likelynote

Responsibilities

Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or other research
Responsible for more complex issues such as coordination of benefits, Medicare, and medical policies
Works closely with staff from other departments on a regular basis to ensure customer satisfaction
Works closely with contract managers to identify and correct contractual issues when applicable
May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required
Researches voluntary refunds for accuracy
Requires accurate balancing of all accounts

Qualification

Claims processingCustomer serviceFACETSMacessCCERT

Required

Requires a H.S. diploma or equivalent and a minimum of 2 years of claims processing and/or customer service experience; or any combination of education and experience, which would provide an equivalent background

Preferred

AA/AS or higher level degree preferred
FACETS, Macess, and CCERT experienced preferred

Benefits

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical
Dental
Vision
Short and long term disability benefits
401(k) +match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources

Company

Elevance Health

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Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (488)
2024 (604)
2023 (660)
2022 (222)

Funding

Current Stage
Public Company
Total Funding
unknown
2001-10-30IPO

Leadership Team

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Gail K. Boudreaux
President and CEO
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Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
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Company data provided by crunchbase