Data Mining Recovery Collections Specialist

Claritev•New York, NY

8d•$42,000 - $45,000

About The Position

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! Do you know someone who you think would be a great fit for this position? To share this job with someone, click the refer-a-friend icon at the top of this page. This icon is to the right of the star icon. JOB SUMMARY: The Collections Specialist pursues collections on errant healthcare claims made to various healthcare provider entities. This role operates in a department that offers a unique combination of deep healthcare expertise and analytics-powered technology solutions to help clients improve operational efficiency, achieve financial integrity, and generate measurable results.

Requirements

High school diploma or GED along with at least two (2) years of medical billing, collections (call center), and customer service experience.
Computer skills and familiarity with Microsoft Office programs like Outlook, Word, & Excel.
Self motivated to ensure individual goals are met or exceeded..
Ability to prioritize, coordinate, multitask, think outside the box, and be energetic.
Ability to work independently while maintaining close attention to detail.
Ability to adapt to a changing environment, manage multiple tasks, and demonstrate outstanding and friendly customer service skills.
Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone.

Nice To Haves

Bachelors' degree in a relevant field is preferred.
Knowledge or experience with medical coding and regulations preferred.

Responsibilities

Make outbound calls to healthcare medical providers to discuss and collect overpayments due to erroneously billed claims.
Document collection activity within internal databases detailing notes from calls.
Conduct regular communication with healthcare insurance clients and providers on aging inventory.
Send refund request letters to healthcare providers via internal system.
Update team and management on issues/feedback from calls.
Ensure compliance with HIPAA regulations and requirements.
Demonstrate Company's Core Competencies and values held within.
Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Benefits

Medical, dental and vision coverage with low deductible & copay
Life insurance
Short and long-term disability
Paid Parental Leave
401(k) + match
Employee Stock Purchase Plan
Generous Paid Time Off – accrued based on years of service
WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
10 paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Summer Hours
Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.