Alignment Health

Claims Recovery Specialist

Alignment Health(1 month ago)

United StatesOnsiteFull TimeMedior$53,210 - $79,815Claims
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About this role

The Claims Recovery Specialist at Alignment Health is responsible for managing the identification and recovery of claims overpayments within regulatory and contractual timeframes. The role focuses on ensuring accurate processing, tracking of refunds, and collaborating with internal teams and vendors to resolve payment errors affecting senior care members.

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Required Skills

  • Claims Processing
  • Overpayment Recovery
  • Claims Coding
  • Medicare Advantage
  • Vendor Management
  • Data Analysis
  • Excel
  • MS Access
  • Medical Terminology
  • HIPAA Compliance

Qualifications

  • High School Diploma or GED
  • Bachelor's Degree (Preferred)

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