Payment Recovery Correspondent

Blue Cross and Blue Shield of Kansas • Topeka, KS

1d • Hybrid

About The Position

Choose to work for one of the most trusted companies in Kansas. Your work will directly contribute to the health and well-being of Kansans. The company offers a total rewards package that promotes family first, including paid vacation, sick leave, and immediate paid maternity and paternity leave. Employees have professional growth opportunities with ongoing training and development programs. The work environment is dynamic, collaborative, and promotes flexibility. Blue Cross and Blue Shield of Kansas has over 80 years of commitment, compassion, and community, fostering an inclusive workplace where everyone is valued and respected. The Payment Recovery Correspondent analyzes and determines the corrective action required to administer proper collection procedures for claims that have been previously processed incorrectly for all lines of business and product types, using written and telephone correspondence. This position is eligible to work remotely, hybrid or onsite in accordance with the Telecommuting Policy, but applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment.

Requirements

• Ability to work independently and as a team member.
• Ability and interest in working accurately with mathematics.
• Strong written and verbal communication skills.
• Must be proficient in the systems used by the department after completion of training.
• High School diploma or equivalent required.
• Minimum one year experience in Claims or BCBSKS Customer Service required.

Nice To Haves

• Knowledge of multiple lines of business/product types preferred.

Responsibilities

• Conduct audits of claims processed to assure adherence to processing policies and guidelines.
• Pursue and manage recovery of overpayments and apply recoveries.
• Collaborate between the Claims and the Finance departments to ensure the proper accounting of returned checks, proper addresses for providers, collections of outstanding overpayments, replacement checks, and refunds.
• Generate Collection Letters for all lines of business.
• Research ACES/CSI, eligibility, history, and purged history, to identify the claim(s) that need adjusted upon receipt of an unidentified refund check.
• Create and route CSI/OTIS & Image to other areas for claim adjustments.
• Update the Workday system with the appropriate transactions to close open payments, debits, and credits to keep corporate accounting in balance.
• Respond to telephone and written inquiries in a courteous, timely, and accurate manner for both internal and external customers.

Benefits

• Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 401(k) plan matching up to 5%
• Tuition reimbursement
• Health & fitness benefits, discounts and resources

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees