Recovery Specialist Associate - Call Center

About the role

The Recovery Specialist Associate - Call Center is responsible for identifying, tracking, and reconciling overpayments made to providers and ensuring that recovery is made and reported under general supervision. This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.

Responsibilities

• 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/worker’s compensation subrogation files.
• Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email or mail.
• Captures, 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.
• Manages high-volume intake calls and correspondence inventory effectively.
• Determines membership eligibility using various job aids and membership systems.
• Responds to calls, letters, faxes and emails from policyholders, agents, vendors and/or providers.
• Show initiative and resourcefulness in solving problems and meeting customer needs.
• Develops relationships with other business units and service partners whose assistance, cooperation and support may be needed.
• Adheres to company and department policies and procedures as well as HIPAA regulations.
• Performs other duties as requested or assigned.

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

• Prior call center experience strongly preferred.
• Medical claims processing experience preferred.
• Proficiency with Microsoft Office products (Outlook, MS Teams, Excel, PowerPoint and Word) and software programs preferred.
• Excellent communications skills both oral and written preferred.
• Prior health care experience preferred.
• Strong problem-solving skills preferred.

Benefits

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Pay

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $19.18 to $30.14.

Schedule

Shift: Monday- Friday; 10:30am - 7:00pm EST