Recovery Specialist Associate

3 weeks ago

Louisville, United States Elevance Health Full time

Elevance Health

Recovery Specialist Associate

LOUISVILLE ,

Kentucky

Apply Now

This position

*may

require you to come into the office

periodically

* The

Recovery Specialist Associate

is 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. 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.

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