HireDiversity

At Coventry, we've been building a world-class Customer Service Organization that delivers an easy and simple experience for our customers. We need the right people on the front line to make a difference with our members, health care providers and even each other as we work together as a team.

If you are looking for a career in the health care industry, but prefer an office environment, this could be the right opportunity for you.  We are currently recruiting a Recovery Specialist in our Cranberry Township, PA Service Center. The ideal candidate will assists with all aspects of recoveries service including, but not limited to the following: working duplicate and retro-termination reports, refund and return check processing, stop payment/void processing, responding to

customer inquiries, and resolving customer concerns.

We offer a competitive salary, excellent benefits (401K with company matching, paid training, comprehensive benefits including medical, dental, tuition reimbursement), vacation and sick time, and a business casual environment. This is a fast-paced, hands-on, team-oriented environment where creativity, initiative, and innovation are highly rewarded.

ESSENTIAL RESPONSIBILITIES:

·         Interprets medical contract language by using Pegasus and hard copy contracts.

·         Performs adjustments on all IDX platforms by using IDX technical and claims processing expertise.

·         Completes assigned projects/reports, i.e. duplicate reports, retro termination reports, etc.

·         Processes basic provider refunds, return checks and other vendor related transactions.

·         Processes basic stop payment and void requests.

·         Answers queued telephone calls through the Coventry established Recovery line. Interfaces with

·         customers by telephone and/or written correspondence.

·         Researches customer information by effectively using the “Essentials” on-line resource library and

·         customer service console.

·         Assesses, investigates and resolves outstanding issues to achieve customer satisfaction. Uses a

systematic approach in solving problems through analysis and evaluation of alternate solutions.

·         Assists Recovery Specialists with the resolution of open accounts payable items.