Job Details

Overpayment Recovery Specialist--CSR (Est. Start Date 12/09/2024) November 18, 2024

14332476

Located in Amarillo, TX

Pay: 17.50/hr.

Job Full Description

This position is responsible for contacting providers and resolving potential overpaid claims for medical, dental and long-term care providers on behalf of insurance clients. This position is primarily an outbound calling role in a fast-paced working environment.

 

 

Responsibilities

 

·        Politely and effectively communicates with medical, dental, and long-term care providers regarding identified insurance overpayments.

·        Persistent at problem solving and escalated appropriately.

·        Proactively making contact and responding both verbally and in writing with providers.

·        Responsible for maintaining and accurately updating in the operating system, to include: points of contact, adding or creating notes, recovery stages, etc. 

·        Perform administrative duties to include: creating notes, researching overpayments, sending emails/faxes, etc.

·        Basic level of polices & procedures

·        Positively respond to coaching, mentoring and feedback.

·        Ability to work in a fast-paced and team environment.

·        Achieve daily, weekly, and monthly recovery goals and metrics.

 

 

 

Competencies

·        Ability to perform the essential job functions

·        Professionalism

·        Communication Proficiency – written and verbal communication

·        Customer/Client Focus

·        Problem Solving/Analysis

·        Able to multitask

 

 

 

Required Education and Experience

  • High School Diploma or equivalent.
  • Possess excellent computer skills
  • Possess excellent interpersonal skills, oral and written communication skills
  • Be able to work independently
  • Be detail oriented, accurate and precise in completing the tasks associated with the position
  • Intermediate Windows & MS Office Skills are mandatory.

 

Preferred Education and Experience

  • Experience in processing Long Term Care/Medical/Medicare/Medicaid/Dental or some type of insurance billing or auditing.
  • Call center experience
  • Customer service experience
  • Have expert knowledge of Microsoft Excel, Word & Outlook.

 

 



Amarillo, TX
1982
6605 I-40 West
Amarillo, TX 79106

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