Financial Operations Recovery Specialist I

Elevance Health • Atlanta, VA

13d • Remote

About The Position

Financial Operations Recovery Specialist I Location: Virtual: This role enables associate to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. This position will require Government Facets Claims Processing experience. The Financial Operations Recovery Specialist I is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. How you will make an impact: Participate in claims workflow projects. Responds to telephone and written inquiries and initiates steps to assist callers regarding issues relating to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of claims. Adjusts voids and reopens claims on-line within guidelines to ensure proper adjudication. May have customer/client contact. May assist with training of staff. Works without significant guidance.

Requirements

• Requires a HS diploma and a minimum of 3 years of the companies internal claims experience; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

• Government claim processing experience STRONGLY preferred.
• TS Home and/or Host experience preferred
• Claim Adjustment experience preferred
• Demonstrated ability to work independently, prioritize workload, and take ownership of daily deliverables with minimal supervision.
• Strong ability to read, interpret, and accurately apply documented policies, procedures, and processing steps to ensure compliant, consistent outcomes.
• Flexibility to shift between work types (e.g., queues, outreach, research, corrections) and adapt quickly to changing priorities while maintaining production and quality standards.
• High attention to detail and accuracy when reviewing financial information, resolving discrepancies, and documenting actions in required systems.
• Effective time management and organization skills to meet deadlines and service-level expectations in a high-volume environment.

Responsibilities

• Participate in claims workflow projects.
• Responds to telephone and written inquiries and initiates steps to assist callers regarding issues relating to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of claims.
• Adjusts voids and reopens claims on-line within guidelines to ensure proper adjudication.
• May have customer/client contact.
• May assist with training of staff.
• Works without significant guidance.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED