Jobs · Pennsylvania

Recovery Operations Specialist

Council Capital · Newtown Square, PA · 1 mo ago
Hybrid$350/hrFull-time

About the role

This role serves as the operational backbone of the recovery process at Alivia Analytics.

Responsibilities

  • Send 100% of client mailings on the agreed weekly (or prepay) schedule with zero missed cycles; log and tie all inbound letters to the system within 24 hours of receipt.
  • Create and reconcile monthly (or prepay-cadence) invoices to the client invoice at 100% accuracy, tracking every adjustment with zero unexplained variances (tick-and-tie to inventory).
  • Acknowledge 100% of provider inquiries (audits, records, discrepancies) within 24 hours, working to minimize provider abrasion.
  • Cook up appeals: acknowledge to the provider within 24 hours, route to the correct audit team with zero misroutes, keep payer and provider informed, and meet 100% of fair-hearing deadlines.
  • Maintain 99% accuracy on all client-related work (client SLA standard is 98%).

Requirements

  • 2+ years of healthcare claims experience.
  • 2+ years working in Microsoft Office.
  • 1+ year in a customer-facing role.
  • Exceptional accuracy, responsiveness, and written and verbal communication.

Qualifications

The ideal candidate is U.S.-based with work authorization (no offshore).

Skills

  • Exceptional accuracy and responsiveness.
  • Strong written and verbal communication skills.

Benefits

At Council Capital, we're not just backing companies—we're helping build enduring businesses that improve lives and shape the future of healthcare.

Pay

Negotiable based on experience and qualifications.

Schedule

Full-time position.

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