• Process overpayments (post provider refunds, adjustments, offsets) requests, prepare notification letters. • Conduct outbound calls to healthcare providers to request payment recovery in a professional, courteous, and respectful manner. • Clearly communicate payment requests, claim details, and supporting information to provider offices. • Collaborate with internal teams to resolve discrepancies or provider questions efficiently. • Review claims for missing or incomplete information, calculate payment, or validation of identified overpayments. • Work under direct supervision with ability to analyze claim issues from identification to resolution and handle basic problems independently while collaborating with senior team member on more complex issues. • Responsible for reviewing and managing outstanding accounts receivable with guidance by operation leader, contacting providers to collect payment, and identifying issues with unpaid accounts. • Understand client specific policies related to claim payments, provider manual and member benefits. • Maintain legal compliance by following company policies, client policies, procedures, guidelines, as well as state and federal regulations. • Recognize and report system issues. • Prepare basic internal and external reports by collecting, analyzing, and summarizing information. • Maintain productivity goals and standards set by the department. • Executes functions with focus on accuracy and quality. • Complete special projects as assigned.