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Financial Operations Recovery ...


Job Summary

Virginia Beach, VA
Other/Not Classified
Job Type
Full Time
Career Level
Experienced (Non-Manager)
Job Reference Code

Financial Operations Recovery Specialist I- Virginia Beach, VA- PS4634

About the Job


Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Fin Ops Recovery Spec I
Responsible for handling overpayments or reimbursement from other parties who may be liable for payment of claims. This level handles more routine issues.
Essential duties include, but are not limited to:
  • Determines and calculates amount of overpayment.
  • Issues refund request letters, notice letters, or med lists.
  • Processes voluntary refunds.
  • Adjusts claims based on refund received.
  • Performs other duties as assigned
Mandatory overtime may be required based on the needs of the department, this could be 10 to 15 hours a week.
Training Schedule Monday - Friday 8:30 AM to 5 PM EST (Training period 90 days)
Full-Time schedule out of training - flexible schedule starting within the hours of 6:30 AM to 9:30 AM - eight hour shifts)
  • High school diploma or equivalent and
  • 2 years experience in claims
  • 2 years of customer service
  • Experience working with Excel
  • Must have knowledge of relevant claims systems and related software and good PC skills.
  • Requires strong problem-solving and oral and written communication skills
  • Working a healthcare or manage care - preferred.
  • Working with medical claims - preferred.
  • Call Center experience a plus
  • Experience working with collections a plus
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.

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