Anthem, Inc. Recovery Specialist II in Cerritos, California
SHIFT: Day Job
Recovery Specialist II Days Location: Cerritos, CA
The Recovery Specialist II is responsible for pursuing claims overpayments or reimbursements from other parties who may be liable for payment of claims. This level handles more complex issues, such as auditing and adjusting claims, COB, Medicare, Worker's Compensation, or subrogation. Essential duties include but are not limited to: • Determines reason for overpayment or other party liability. • Calculates amount of overpayment. • Issues refund request letters or lien notices. • Responds to rebuttals and corresponds with involved parties. • Adjusts claims as required based on refund. Performs other duties as assigned.
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. Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
Requires high school diploma or equivalent and 4 years related experience in operations. Must have knowledge of relevant claims systems and related software and good PC skills . Requires strong problem-solving and oral and written communication skills.
Must have medical claims experience