Job Description

JOB SUMMARY:
The Recovery Coordinator is responsible for accurate and timely refund posting and refund follow?up. Serves as liaison to external vendors who conduct recovery activities post payment of claims on behalf of Health Alliance. Responsible for accurate maintenance of the data stored in the refund tracking software system.

EDUCATIONAL REQUIREMENTS
None Specified

CERTIFICATION & LICENSURE REQUIREMENTS
None Specified

EXPERIENCE REQUIREMENTS
Three (3) years relevant experience required as accounting clerk (receivables or payables), customer service or collections experience. requireduires clerical experiences with word processing spreadsheet ability at a moderate level, 10?key skill.

SKILLS AND KNOWLEDGE
Organizational Skills: Ability to organize and prioritize work on a day?to?day basis. Human Relations: Ability to communicate effectively, deal with conflict and maintain respect for confidentiality. Independence: Ability to work with minimal supervision. Decision Making/Problem Solving: Ability to work through and resolve difficulties.


ESSENTIAL FUNCTIONS:

• Ensures accurate cash posting and cash control in terms of balancing each day's entry with the deposit and ensuring funds are secured. Ensures accurate maintenance of check log entries for turnaround time and inventory control reports.
• Performs timely follow-up to refund requests, works directly with providers and members on outstanding balances, provides any additional documentation, explanation or back-up required to resolve the balance.
• Responds timely to audit results and discusses any disputes with the Recovery Manager.
• Assists in the identification of trends based on refund receipt reasons and provides feedback to the Recovery Manager.
• Submits appropriate cases to external recovery agencies and serves as liaison for these vendors performing Coordination of Benefits, Third Party Liability, general claims overpayments and termed member collection recovery activities. Responds to any written or telephonic information requests of external vendors.
• Responsible for completion of various departmental reports.
• Provides input to the development, implementation, and ongoing maintenance of policies and procedures in order to maximize payment avoidance or recovery opportunities.

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