Address
Form of work
Salary- Job Family: Finance and Actuarial
- Type: Full time
- Date Posted: Mar 19, 2024
- Anticipated End Date: Apr 12, 2024
- Reference: JR109834
Description
Recovery Specialist Associate
Location : Louisville, KY - Waukesha, WI - Indianapolis, IN
Hours: 7:30 am - 4:00 pm CST / 08:30 am - 5:00 pm EST
**This position may require you to come into the office periodically **
The Recovery Specialist Associateis responsible for identifying and initiating third-party / Workers Compensation, tracking, and reconciling overpayments made to providers and ensuring that recovery is made and reported under general supervision. The RSA will collect and document auto insurance, attorney information and settlement details. The RSA will perform all authorized duties in the processing of intake referrals, calls, and overpayment allocated to the assigned market consistent with all applicable company and departmental policies.
How you will make an impact:
- Effectively support the Subrogation Recovery Operations team.
- Provides exceptional service to member, providers, group administrators, and attorneys who are providing information on, or seeking information about third party/workers compensation subrogation files.
- Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email, or mail.
- For open cases, collects, records, and verifies member information, pertinent accident details, attorney information and third-party liability information.
- Records detailed and accurate file notes obtained from calls or written correspondence.
- Manage high-volume intake calls and correspondence inventory effectively.
- Determine membership eligibility using various job aids and membership systems.
- Responds to calls, letters, and emails from policyholders, agents, vendors and/or providers.
- Show initiative and resourcefulness in solving problems and meeting customer needs.
- Develop relationships with other business units and service partners whose assistance, cooperation and support may be needed.
- Adheres to company and department polices and procedures s well as HIPAA regulations.
- Performs other duties as requested or assigned.
Minimum Requirements:
- Requires H.S. diploma or GED preferred, a minimum 2 years of claims or data entry experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
- Proficiency with Microsoft Office products (Outlook, MS Teams, Excel, PowerPoint and Word).
- Excellent communication skills both oral and written.
- Previous healthcare experience is preferred.
- Demonstrated knowledge of subrogation and medical claims preferred.
- Requires strong problem-solving skills.
- Experience with Medicare/Medicaid claims.
- Experience with using a document management system.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.
