Job Description
WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.
Financial Operations Recovery Specialist II
- Job Family: Finance and Actuarial
- Type: Full time
- Date Posted:Nov 22, 2023
- Req #: JR95346
Location:
- IN, INDIANAPOLIS
- NJ, MORRISTOWN
- FL, MIAMI
- OH, CINCINNATI
- CA, WALNUT CREEK
- KY, LOUISVILLE
- NH, MANCHESTER
- WA, SEATTLE
- IL, CHICAGO
- LA, BATON ROUGE
- NY, MIDDLETOWN
- MN, GILBERT
- DC, WASHINGTON
- GA, MIDLAND
- NV, LAS VEGAS
- TX, HOUSTON
- VA, NORFOLK
- CT, WALLINGFORD
- MD, HANOVER
- WV, CHARLESTON
- NJ, ISELIN
- DE, WILMINGTON
- CA, CERRITOS
- OH, MASON
- CO, DENVER
- ME, SOUTH PORTLAND
- GA, ATLANTA
- FL, TAMPA
- IA, W DES MOINES
- VA, ROANOKE
Description
Financial Operations Recovery Process Specialist II
Location: The ideal candidate will live within 50 miles of one of our PulsePoint locations.
The Financial Operations Recovery Process Specialist for Advanced Home Delivery at CarelonRx is responsible for discovery, validation, recovery, and adjustments to receivable balances. The candidate will work with cash receipts, cash applications, collections, overpayments, vendor validation, and prescription adjustments. The role is considered a hybrid position within the organization.
How You Will Make an Impact
- Review of receivable balances for relating short and non-payments using various techniques including systems-based queries, specialized reporting, or other research.
- May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required.
- The candidate will find discrepancies in payments compared to receivables and will need to investigate to be able to match together in new accounts receivable software.
- Individuals will work closely with the patient services team to ensure customer balances are correctly communicated to them.
- Assist in digital design to collect past-due balances from customers.
- Be able to quickly learn new software to ensure accurate receivable balances and financial statements for CarelonRx.
- Assist in the creation and review of department policy and procedure manuals for accuracy and work to ensure procedures and policies are accurate and complete. Follow procedures for efficient collections and accurate balances.
- Be able to communicate within large organizations to retrieve necessary information for decision-making.
- Able to decipher differences/issues in receivables balances to ensure proper collection and reporting.
Minimum Requirements
- Requires a High School diploma
- Requires a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, And Experience
- An associate degree or higher is strongly preferred.
- Previous experience in high-volume operations (claims, customer service, enrollment, and billing) is strongly preferred.
- Previous experience in the pharmacy industry (specifically mail-order pharmacy) is strongly preferred.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $19.73 to $35.82
Locations: California; Colorado; Nevada; New York; Washington State; Jersey City, NJ
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
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. A Fortune 20 company with a longstanding history in the healthcare industry, 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.
Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles 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 Fortu