Financial Operations Recovery Specialist II

We are currently hiring for the Maryland Behavioral Health Administrative Services Project!

ATHENA Consulting is an award-winning staffing firm serving state and local governments. Our mission is to make lives better! We make our Clients’ Lives Easier by engaging and supporting our clients and partnering with them to be the most knowledgeable staffing partner. We make our Employees’ Lives Better by identifying and cultivating their talents and matching these talents with our customers’ needs. ATHENA places a high value on customer service, accountability and getting the job done.

Position Summary

This FULL-TIME position ranges from $30-$33 per hour depending on experience. The Financial Operations Recovery Specialist II is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments, and related duties as assigned.

This position is remote.

Essential Duties And Responsibilities

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

• Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or other research.
• Analyze paid claims to identify overpayments related to billing and coding errors.
• Identify and recommend areas of coding improvement
• Responsible for more complex issues such as coordination of benefits, Medicare, and medical policies.
• Works closely with staff from other departments on a regular basis to ensure customer satisfaction.
• Works closely with contract managers to identify and correct contractual issues when applicable.
• May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required.
• Researches voluntary refunds for accuracy.
• Requires accurate balancing of all accounts.
• Participate in developing department goals, objectives, and systems
• Participate in staff meetings and attend other meetings and seminars as assigned.
• Recommend new approaches, policies, and procedures, to continually improve efficiency of the department and services performed.
• Efficiently performs duties as assigned and works as a team within division and company.
• Perform other related duties as assigned.
  
  

Required Skills/Abilities

• Excellent verbal, written, and listening communication skills within the English language.
• Proven, high quality customer service (internal and external customers).
• Ability to work collaboratively.
• Solid ability to analyze situations carefully and adopt appropriate courses of action.
• Ability to understand and adhere to the duties, methods, and procedures required by the position.
• Excellent organizational skills and attention to detail.
• Ability to prioritize tasks.
• Ability to effectively communicate to large and small group audiences.
• Proficient with Microsoft Office Suite or related software.
  
  

Education/Experience Requirements

• Requires a H.S. diploma
• Proficient in Microsoft Office Suite including Outlook, Word, and Excel
• A minimum of 2 years of claims experience;
• Any combination of education and experience, which would provide an equivalent background.
• Strong attention to detail
• Excellent written and verbal communication skills
• Ability to prioritize tasks and manage time effectively
• Preferred requirements:
• AA/AS or higher level degree preferred
  
  

Physical Requirements

• Possible prolonged periods of sitting at a desk and working on a computer.
• Standard hours of work Monday through Friday, 8:30 am – 5:30 pm.
  
  

Successful ATHENA Employees Will Display The Following Characteristics

• You strive to be the best in your field currently and in the future.
• You like to make your employer look good.
• You find solutions, where others only see problems.
• You are proactive, you make and meet commitments, and you perform your duties exceedingly well.
• You are aware of the employer’s needs at all times and are well-versed in what you personally and ATHENA can offer them as a whole.
• You have the ability to work with diverse, integrated, deliverable-driven teams to accomplish the larger mission.
  
  

The benefits of working for ATHENA include a full Benefit package:

• Support from a team of professionals committed to making your life better.
• Medical, dental and vision insurance.
• Medical and dependent flexible spending account.
• Pet insurance.
• Mass transportation benefit for the Maryland and Washington, D.C. area.
• 401k with a generous employer match.
• Easy to use employee self-serve HR portal.
  
  

The statements in this Job Posting are intended to describe the general nature and minimum level of work required. The content should not be construed as a complete list of all duties, responsibilities, and skills required to meet the criteria for this position. Upon request, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Application for employment is not intended to and does not create a contract or offer of employment and if hired, employment with the company is on an at-will basis and could be terminated at the will of either party.

ATHENA Consulting LLC does not discriminate in hiring based on federally protected classifications to include but not limited to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status, marital status or other characteristics protected by law. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.