Claims Recovery Specialist
- Full-time
A company is looking for a Specialist, Claims Recovery (Remote).
Key Responsibilities
Review Medicaid, Medicare, and Marketplace claims for overpayments and ensure provider compliance
Prepare written notifications and maintain reports related to outstanding payments and uncollectible claims
Research claims payments and validate overpayments while processing claims accurately in recovery applications
Required Qualifications
High School Diploma or GED
1-3 years of experience in claims adjudication or relevant work experience
Minimum of 1 year experience in customer service
Minimum of 1 year experience in a healthcare insurance environment with Medicaid or Managed Care
Associate's Degree or equivalent combination of education and experience preferred
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Recovery Specialist • Naperville, Illinois, United States