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Medical Claims Refund and Recovery Specialist

Company: Cobalt Benefits Group LLC
Location: South Burlington
Posted on: June 25, 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, Other , South Burlington, Northeast

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