Fin Ops Recovery Spec II

Job Title : Fin Ops Recovery Spec II

Client Location : 3560 Delta Dental Drive Eagen MN 55122

Contract Duration : 03+ months contract position

Work Timings : M-F, 8 to 4:30

SUMMARY: May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments.

MAJOR JOB DUTIES AND RESPONSIBILITIES: Primary duties may include, but are not limited to: Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or other research. Responsible for more complex issues such as coordination of benefits, Medicare, and medical policies. Works closely with staff from other departments on a regular basis to ensure customer satisfaction. Works closely with contract managers to identify and correct contractual issues when applicable. 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. Researches voluntary refunds for accuracy. Requires accurate balancing of all accounts.

EDUCATION/EXPERIENCE: Requires a H.S. diploma; 2-4 years of
claims processing and/or customer service experience; or any combination
of education and experience, which would provide an equivalent
background. Associate degree or higher level degree preferred.

Looking for candidates who have experience in customer service and handling claims. If you are interested feel free to reach Priti Kumari at 732-847-2541 or send me the updated resume on pritik@mindlance(dot)com