Financial Operations Recovery Specialist I/II/III
Core
Audits paid claims for overpayments, validates vendor invoices, performs collection activities, and ensures accurate balancing of accounts to recover overpayments.
Role type
Financial Operations Recovery Specialist
Builds
Cash application processes, claim adjustments, and overpayment recovery workflows
Domain
Healthcare administration / Claims processing
Required skills
claims processing, customer service, account balancing, case research, vendor validation, collection activities, policy review, process improvement
Preferred skills
AA/AS or higher degree, experience with Facets, CIW, CCert, ACR, Work IQ, BlueSquared, WGS
Responsibilities
Audits paid claims for overpayments using systems-based queries and specialized reporting; interacts with staff and management to ensure customer satisfaction; works with recovery and collection vendors to validate overpayments and invoices; handles complex case research and resolution; performs collection activities to recover overpayments; reviews and monitors associate work for quality standards; assists in special projects to find and prevent overpayments.
Seniority
Individual Contributor, Non-Management
