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Financial Operations Recovery Specialist I- Eagan MN PS1909 in Eagan, MN at Anthem, Inc.

Date Posted: 3/14/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At DeCare Dental, a proud member of the Anthem, Inc. family of companies,
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.

The Financial Operations Recovery Specialist is responsible for setting up and adjusting claims overpayments that have been previously identified. May do all or some of the following in relation to cash receipts, cash application, claim audits, collections, overpayment vendor validation, and claim adjustments. Primary duties may include, but are not limited to:

  • Reviews and validates paid claims for overpayments using various techniques including system-based queries, specialized reporting, or other research.
  • Determines and calculates amount of overpayments and processes refunds.
  • Researches voluntary refunds for accuracy.
  • Process check tracer requests submitted by members and providers.
  • Requires accurate balancing of all accounts.
  • Responsible for more routine issues.
  • May work with internal staff from other departments to ensure customer satisfaction.
  • May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable balances and all other cash applications.

Job Requirements

  • Requires a H.S. diploma; 2 years of claims processing and/or customer service experience; or any combination of education and experience, which would provide an equivalent background.
  • Associate's Degree is preferred.
  • Knowledge of dental processing systems such as DDS and CLEAR highly preferred.
  • Knowledge of Dental Managed Partner business highly preferred.
  • Strong Microsoft Office experience highly preferred.
  • Strong communication skills required.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran.