RECOVERY ASSOCIATE

City/State

Norfolk, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health Plans Community Care is currently recruiting for a Recovery Associate in Norfolk, VA

The Recovery Associate analyzes, researches and obtains data required to prepare financial adjustments to medical claims expense from overpayments identified, pursued and collected. Performs routine audits of claims paid to verify accuracy of claims expense recorded on SHP financial statements. Responsible for preparing payment adjustments to reduce medical claims expense in accordance with various programs (i.e. MSP, Workers Compensation, Subrogation, National Association of Insurance Companies, Fair Business Practices Act laws established by the Bureau of Insurance, as well as other Federal and State Laws and Regulations).

Requirements:

• High School Diploma
• 2 years of Health Plans Claims Disbursements.

Our Benefits: 
  
As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers.  We offer a variety of amenities to our employees, including, but not limited to: 
  
•    Medical, Dental, and Vision Insurance 
•    Paid Annual Leave, Sick Leave 
•    Flexible Spending Accounts 
•    Retirement funds with matching contribution 
•    Supplemental insurance policies, including legal, Life Insurance and AD&D among others 
•    Work Perks program including discounted movie and theme park tickets among other great deals 
•    Opportunities for further advancement within our organization 
  
Sentara employees strive to make our communities healthier places to live. We are setting the standard for medical excellence within a vibrant, creative, and highly productive workplace.  For information about our employee benefits, please visit: Benefits – Sentara (sentaracareers.com) 
  
Join our team! We are committed to quality healthcare, improving health every day, and providing the opportunity for training, development, and growth! 
Note: Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if the established system and employee eligibility criteria are met. 
  
Keywords: Talroo-health Plan, #Indeed, Claims, Audits, Recovery Associate

Job Summary

Analyzes, researches and obtains data required to prepare financial adjustments to medical claims expense from overpayments identified, pursued and collected. Performs routine audits of claims paid to verify accuracy of claims expense recorded on SHP financial statements. Responsible for preparing payment adjustments to reduce medical claims expense in accordance with various programs (i.e.. MSP, Workers Compensation, Subrogation, National Association of Insurance Companies, Fair Business Practices Act laws established by the Bureau of Insurance, as well as other Federal and State Laws and Regulations).

Qualifications:

HS - High School Grad or Equivalent (Required)

Health Plan Claims Disbursmnts

Skills

Accounting/Auditing, Complex Problem Solving, Critical Thinking, Mathematics

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission “to improve health every day,” this is a tobacco-free environment.