Medical Claims Refund and Recovery Specialist
Company: Cobalt Benefits Group LLC
Location: South Burlington
Posted on: June 25, 2022
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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.
Qualifications:
- 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:
PI177645320
Keywords: Cobalt Benefits Group LLC, New England , Medical Claims Refund and Recovery Specialist, Other , South Burlington, Northeast
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here to apply!
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