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Medical Claims Refund and Recovery Specialist

Company: Cobalt Benefits Group LLC
Location: Burlington
Posted on: June 26, 2022

Job Description:

Located in Beautiful Vermont! Initial 90 days training is onsite. After that, opportunity for hybrid telecommuting. Fun Environment! Growth Opportunity! Work-Life Balance!We are seeking a detail-oriented Medical Claims Refund/Recovery Processor to join our growing team in South Burlington, VT. This position is responsible for reviewing/auditing claims and determining potential refunds. The ideal candidate is detail oriented with exceptional communication skills and a background in claim adjudication for medical, dental, FSA and HRA. Hours are Monday through Friday 8-4:30 (37.5 hours).What you'll do:
-- Audit, review, and adjust medical, dental, and flexible spending account and Health Reimbursement Account claims
-- Review, apply and create refund letters for all lines of business to members and providers.
-- Research, update, and communicate on Subrogation issues.
-- Reprocess payments when necessary/
-- Review overpayment reportand send applicables to collections.
-- Daily review of reports.

-- Associates Degree or 2+ years of health care claim processing or related experience
-- Third-Party Administrator knowledge strongly desired
-- Intermediate Excel skills
-- Client-Facing experience

Some Benefits:

Up to 6% Company 401K match
Prorated 2 weeks vacation first year
3 weeks vacation after first year
Up to 80 hours of sick
Company paid Life Insurance
Medical, dental, vision
Parental Leave


Keywords: Cobalt Benefits Group LLC, New England , Medical Claims Refund and Recovery Specialist, Healthcare , Burlington, Northeast

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