Payment Recovery Correspondent

Blue Cross and Blue Shield of Kansas•Topeka, KS

12h•Hybrid

About The Position

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 company's Telecommuting Policy, though applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment. Blue Cross and Blue Shield of Kansas is one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community, offering a total rewards package that promotes the idea of family first for all employees. The company prides itself on fostering a workplace where everyone is valued and respected, offering professional growth opportunities and a dynamic work environment.

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.