Alignment Healthcare USA, LLC
Claims Recovery Specialist (Finance)
The Claims Recovery Specialist ("Specialist") is responsible for processing of all identified claims overpayments within the regulatory and/or contractual timeframes. The Specialist ensure claims overpayments are recovered timely and accurately. The Specialist must understand claims processing requirements which include but not limited to interpretation of contracts and benefits, correct claims coding and billing. The Specialist maintains and track all incoming refunds and overpayment identified internally and by the contracted recovery vendors.
General Duties/Responsibilities:
Essential duties and responsibilities include but are not limited to:
None
Minimum Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.