Elevance Health Financial Operations Recovery Process Specialist in Raleigh, North Carolina
Financial Operations Recovery Process Specialist
Job Family: Finance and Actuarial
Type: Full time
Date Posted:Aug 02, 2022
Req #: PS73426
- National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Description - External
The Financial Operations Recovery Process Specialist is responsible for working with Business Consultants with the ongoing expansion of the Global Workforce within the Pre Payment and Post Payment CSBD Validation teams. Also responsible for providing technical direction, guidance and resources to associates on a day to day basis.
Primary duties may include, but are not limited to:
Serves as a first line resource for financial operations associates for workflow and technical related processes.
Provides operational training, assists associates by answering day-to-day technical questions, monitors inventory to ensure workflow remains uninterrupted, and handles complex case research and resolution.
May review and monitor associates work for quality standards.
Reviews department policy and procedure manuals for accuracy and works to ensure procedures and polices are accurate and complete.
May research operations workflow problems and system irregularities.
Assists with the development and testing of process improvement solutions and other operational improvements.
Qualifications - External:
Requires a BA/BS
Minimum of 3 years related experience
Any combination of education and experience, which would provide an equivalent background.
WGS Claims knowledge required.
Previous experience in high-volume operations (claims, customer service, enrollment and billing) strongly preferred.
Prior mentoring and training experience in a virtual setting strongly preferred
Excellent listening skills with the ability to verbalize for understanding
Knowledge of Legacy Claims Platforms ACES, CHIPS, CS90, FACETS, NASCO preferred
COR and Cash Ops procedures preferred
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact firstname.lastname@example.org for assistance.
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