Job Title: Recovery Specialist Job Description As a Recovery Specialist, you will be responsible for accurate collection, reporting, and follow-up on all refund and overpayment checks from providers, insured members, and third parties. You will ensure the precise correction of claims history and medical expense accounts. Responsibilities + Research and accurately apply checks, credit cards, and other sources of payment for pharmacy and medical claims. + Evaluate and process adjustments for medical, historical, regular claims, and pharmacy claims. + Reconcile deposits or payment batches to verify that cash received balances and needed claims are adjusted. + Familiarize with all tracking databases and post cash to complete refund requests. + Index scanned deposits to affected claims and maintain accuracy as determined by the Auditing team. + Request refunds within correct timeframes and update records for cash received, cancellations, and other adjustments. + Make outbound calls to providers and members to collect on outstanding monies. + Report uncollectible accounts to the supervisor for further action. + Follow up on all claims adjudicated that generate recovery letters. + Answer telephone calls from providers, members, and staff, and explain the auto recovery process. + Maintain telephone availability and log time appropriately. + Respond to correspondence and phone mail requests in a timely manner. + Process monthly medical and pharmacy retro termination reports. + Meet minimum production levels and complete daily tracking sheets and spreadsheets. + Prepare and deliver documentation for Accounts Payable to finalize journal entries for deposits and payment batches. Essential Skills + Customer service + Accounting + 6 months of previous accounting experience + Call center experience + Claims processing + Collections customer service + Health insurance knowledge + Resolution skills Additional Skills & Qualifications + Effective interpersonal, verbal, and written communication skills + Strong organizational skills and attention to detail + Ability to de-escalate difficult conversations + Some Experience with word processing, spreadsheet, and database systems Why Work Here? Our company has been recognized as one of the 'Best Companies to Work For' by Utah Business magazine for seven years in a row. We promote from within, providing employees with opportunities to move into various departments such as marketing and accounting. Join a team that values growth, development, and a positive work environment. Work Environment This position is onsite at our Murray location with a schedule of 8:00 AM to 4:30 PM, Monday through Friday. Job Type & Location This is a Contract position based out of Murray, Utah. Pay and Benefits The pay range for this position is $20.00 - $20.00 Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Murray,UT. Application Deadline This position will be accepting applications until Feb 1, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.