Financial Operations Recovery Specialist III

🕒 August 28

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $25 - $43 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Elevance Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 B2B

Healthcare • Healthcare Insurance • B2B

Elevance Health is transforming from a traditional health benefits organization into a lifetime trusted health partner, driven by a bold purpose to improve the health of humanity. With nearly 100,000 associates, they serve over 118 million people and utilize an integrated whole health approach supported by industry-leading capabilities and a digital health platform. Their mission includes redefining health, reimagining the health system, and strengthening communities.

📋 Description

• Discover, validate, recover, and adjust claims overpayments • Review and validate pre payments using systems-based queries, specialized reporting, and research • Interact with staff and management from other departments to ensure customer satisfaction • Coordinate with host plans to verify and adjust claims through ITS and WGS/CI&W systems • Work with recovery and collection vendors to validate overpayments and vendor invoices • Provide feedback to modify vendor queries when needed • Work with contract managers to identify and correct contractual issues • Handle complex case research and resolution • Perform collection activities and maintain unprocessed cash and accounts receivable processes • Review and monitor associate work for quality standards • Review department policy and procedure manuals for accuracy and completeness • Assist with special projects to prevent overpayments and identify process improvements • Complete special projects with minimal supervision • Research voluntary refunds for accuracy • Balance all accounts accurately

🎯 Requirements

• High school diploma or equivalent • Minimum of 4 years of claims processing and/or customer service experience • Ability to work Monday–Friday, 8:00 am to 5:00 pm EST • Ability to work virtually while residing within a reasonable commuting distance from a posting location, unless accommodation is granted as required by law • AA/AS or higher level degree preferred • Accurate balancing of all accounts • Ability to handle complex case research and resolution • Ability to perform claims overpayment discovery, validation, recovery, and adjustments • COVID-19 and Influenza vaccination may be required for certain patient/member-facing roles

🏖️ Benefits

• Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401(k) contribution and match • Merit increases • Paid holidays • Paid Time Off • Incentive bonus programs • Medical insurance • Dental insurance • Vision insurance • Short-term disability benefits • Long-term disability benefits • Stock purchase plan • Life insurance • Wellness programs • Financial education resources • Virtual full-time work arrangement, except for required in-person training sessions • Flexible and autonomous work environment