Claim Overpayment Recovery Specialist II
Medica
Medica is seeking a detail-oriented professional to support claim adjustment and recoupment activities in Minnetonka, MN. The role focuses on processing and reconciling overpayment recoveries, researching discrepancies, and maintaining accurate records in a fast-paced environment. The ideal candidate will have 2+ years of administrative or claims experience, strong MS Office skills, and the ability to work both independently and as part of a team. #J-18808-Ljbffr Medica
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Claim Overpayment Recovery Specialist II in Hopkins, MN vacancy
$37.6k - $64.4k
...coordinated, quality service is the norm and every member feels valued. Medica's Claim Adjustment & Recoupment II role is responsible for processing and reconciling claim-related overpayment recoveries, including receiving, researching, and posting returned checks. This...ClaimsWork experience placementWork at office3 days per week- Medica, a nonprofit health plan serving Minnesota and surrounding states, seeks a Detail‑driven Claims Adjustment & Recoupment II to process and reconcile claim overpayment recoveries. You will handle live checks, research discrepancies and post settlements in a fast-paced,...Claims
- ...the Coding Supervisor, ED, OP Surgery & Observation, the Coding Specialist II analyzes and interprets clinical documentation to accurately... ...diagnosis, CPT, and HCPCS procedure codes as documented for accurate claim submission, as well as assign appropriate modifiers to bill...ClaimsRemote jobFull timeWork experience placement
- Medica, a nonprofit health plan, seeks a Claim Appeals & Correspondence II to manage inventory of claim appeals, VIP cases, and inquiries remotely from the United States. The role involves researching, analyzing, and resolving post-adjudication issues with cross-functional...ClaimsRemote job
$37.6k - $64.4k
...creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. The Claim Appeals & Correspondence II position is responsible for managing assigned inventory related to claim appeals, customer service concerns, internal...ClaimsWork experience placementRemote work- Medica Services Company LLC is seeking a remote Claims Appeals & Correspondence II to manage inventory of claim appeals and VIP cases, researching and resolving processing issues with limited supervision. The role collaborates across departments to ensure timely outcomes...ClaimsRemote job
- ...your career. About This Role: The Revenue Cycle Authorizations Specialist I is responsible for obtaining and monitoring both initial and... ...with the prior authorization process or experience in billing claims with Minnesota Medical Assistance (MA) Electronic Remittances and...ClaimsFull timeWork experience placementWork at officeRemote work
$21 - $24 per hour
...Join Our Passionate Team as a Mental Health Specialist II (MHS II) – Make a Lasting Impact Every Day! AtDungarvin, we are more than a provider of support services - we’rea mission-driven team rooted in respect,responseand choice. Since 1976,we’vebeen dedicated to meeting...Weekend workDungarvin
Minneapolis, MN3 days ago$51k - $54k
Damage Specialist Project Resources Group, Inc. Minneapolis, Minnesota, United States About... ...,outside plant damage assessment & recovery, business outsourcing and consulting services... ...the local handling office. Assist the Claims Recovery team with follow-up actions after...ClaimsTemporary workFor contractorsWork at officeLocal areaNight shift- Job Overview As part of Revenue Cycle Management, this position is responsible for creating a positive first impression of M Health Fairview and ensuring an exceptional experience is achieved while interacting closely with patients, families, and other internal and ...Temporary workWork at officeRelocation packageMonday to FridayWeekend work
Fairview Health Services
Edina, MN1 day ago - A leading claims adjusting firm in Minnesota is looking for Independent Insurance Claims Adjusters. This role provides an opportunity to assist individuals and businesses in recovery from disasters while offering flexible work conditions, autonomy, and competitive pay....ClaimsFlexible hours
$23 - $25 per hour
...Minneapolis Radiation Oncology has an opening for a Prior Authorization Specialist position at our Business Office in Minneapolis (near the Edina... ...radiation treatments or procedures to ensure health insurance claims are processed and paid correctly · Communicate internally...ClaimsHourly payFull timeWork at officeRemote workMonday to FridayFlexible hoursShift work2 days per week1 day per weekMinneapolis Radiation Oncology
Minneapolis, MN1 day ago$97.7k - $162.7k
...; collaborate with departments to support collections and fund settlements while adhering to SLAs. Provide detailed accounting and claims information to support sales, build strong relationships with brokers, clients, and markets, and actively contribute to team efforts...ClaimsMinimum wageWork at officeLocal areaRemote work3 days per week1 day per week$28.5 - $48 per hour
...an opening for Project Controls Scheduler II! Our growing firm is looking for hard-working... ...schedule performance reports. Develop recovery, acceleration, and mitigation plans when projects... ...best practices. Support schedule claim analysis, delay studies, and schedule documentation...ClaimsHourly payContract workFor contractorsFor subcontractorLocal areaFlexible hours$68.8k - $118k
...Product Manager II The Product Manager II is responsible for the development, implementation, and ongoing management of a broad portfolio... ...as background on the Affordable Care Act (ACA). Familiar with claims platforms and processes. Leads product input for Individual &...ClaimsWork experience placementWork at office2 days per week3 days per week- ...Dal-Tile is currently seeking an exceptional Warehouse Associate II to join our team! As the Warehouse Associate II, we need someone... ...returns, and notifying management of damaged shipments for freight claims.Operates forklift equipment.Maintains clean and organized...ClaimsWork at office
Dal-Tile
Minneapolis, MN3 days ago - Connexus Credit Union is hiring remote Charge Off Recovery Collectors. You will contact members to collect charged-off loans, process related documents, and maintain precise records. The role requires strong negotiation skills, independence, and the ability to follow regulatory...Remote job
$56.6k - $97k
...is the norm and every member feels valued. The Financial Analyst II performs intermediate-level financial analysis, reporting, and... ...Journal Entries Prepare and post monthly journal entries for paid claims, IBNR estimates, revenue, and membership Calculate and record interest...ClaimsWork experience placementWork at office3 days per week- AssuranceSD in Minneapolis is seeking a Claims Department Analyst II to manage client billing, accounts receivable, and related reporting. You will report to the Revenue Cycle leadership and ensure timely, accurate processing of claims and invoices. You will prepare MSRs...Claims
$23 - $26 per hour
...-time Compensation: USD 23 - USD 26 - hourly Company Description Join Our Passionate Team as a Mental Health Coordinator II(MHCII)– Make a Lasting Impact Every Day! AtDungarvin, we are more than a provider of support services - we’rea mission-driven team...Hourly payFull timeAll shiftsWeekend workDungarvin
New Hope, MN4 days ago$22 - $25 per hour
...OverviewSalary Range$23.00 - $25.00 Hourly## Description**The Opportunity**The Funding Specialist is responsible for the administration, reconciliation, and processing of customer claims funding activities. This role ensures the accurate calculation and distribution of...ClaimsHourly payLocal areaHealthEZ
Minneapolis, MN3 days ago- ...7 85% of this role involves being on the phone and processing patient requests. Summary The Release of Information (ROI) Specialist II is responsible interpreting all requests for copies of electronic medical records, regardless of to which hospital the medical record...Full timeWork experience placementMonday to FridayDay shift
- ...Supply Chain Sourcing Specialist II Fulltime 40 hours, Days No Call or Weekends Position Summary: The Sourcing Specialist II will collaborate with the Divisions of Analytics and Value Analysis within the JHHS Supply Chain Department. Area specific responsibilities...Full timeContract workWork experience placementWeekend work
- ...serving communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. This Remote role focuses on managing the inventory of claim appeals, customer service issues, internal inquiries, and VIP cases, supporting post-adjudication operations with limited supervision...ClaimsRemote job
- Gurstel Law Firm, P.C. seeks a Frauds & Disputes Specialist in Minnesota to manage fraud and dispute claims, review client communications, and ensure accurate data entry in our databases. You will upload materials to client portals and assist attorneys with timely responses...ClaimsRemote work
- ...1am-7:30pm, Part time 24 hours per week. The Unit Associate II is responsible for a wide variety of tasks that help to ensure... ...Inpatient Unit, Zayed 8, includes six triage rooms, ten Labor/Delivery/Recovery rooms, 3 operating rooms, three Post-Anesthesia Care Beds (PACU)...Part timeWork at office
- Gurstel Law Firm, P.C. - Fraud and Disputes Specialist The Centralization Department within Gurstel Law Firm. P.C. is a Department of four... ...not limited to: Handling of all of Firm’s Fraud and Dispute claims in accordance with all applicable policies, procedures and client...ClaimsWork at officeLocal areaRemote work
$25 - $32 per hour
Member Solutions Specialist - Lyndale Branch Salary Range: $25.00 - 32.00 MY CREDIT UNION offers a comprehensive benefit package that includes... ...of loan collateral. File Conciliation Court and Bankruptcy claims, attend hearings, and follow-up with Court or Trustees on all...ClaimsWork at office- ...& Family Centered Care, the position of Sr. Patient Relations Specialist manages, investigates and responds to high profile, multi-disciplinary... ...cases, including those from the Risk Management Department, claims, and litigation. They are also responsible for cases that were...ClaimsFull timeImmediate start
$53.96k - $79.79k
...& Loyalty and Retail POS Strategy. Overview We are seeking a Specialist, Ecommerce focused on content strategy who combines strategic copywriting... ...content. Translate product information, features, benefits, claims, and brand positioning into clear, shopper needs into focused...ClaimsTemporary workFreelanceWork at officeLocal areaFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claim Overpayment Recovery Specialist II. Be the first to apply!
