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.
What you need
Knowledge/Skills/Abilities
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.
Knowledge of multiple lines of business/product types preferred.
Education and Experience:
High School diploma or equivalent required.
Minimum one year experience in Claims or BCBSKS Customer Service required.
Physical Requirements
Requires constant and intense concentration to complete job functions with intermittent interruptions. Work is onsite only and requires keying at a P.C. up to 85% of the day.
Benefits
$20.96- $26.20Non- Exempt Grade 11Our Commitment to Connection and BelongingBlue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.Health insuranceDental insuranceVision insurance401(k)Paid time offParental leave
Additional Information
Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.
You Belong At Blue
Why Join Us?
Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
Family Comes First : Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
Professional Growth Opportunities: Advance your career with ongoing training and development programs.
Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.
Benefits & Perks
Base compensation is only one component of your competitive Total Rewards package 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
Job Summary
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 required to work onsite at the Topeka location.
Bcbsks · Topeka