Claritev · 5 days ago
Data Mining Recovery Collections Specialist
United States
Full-time
Remote
Entry Level
$42K/yr - $45K/yr
2+ years expClaritev is a dynamic team focused on improving healthcare costs through innovative solutions. The Collections Specialist will pursue collections on healthcare claims, ensuring compliance with regulations and maintaining communication with providers and clients.
BillingHealth CarePayments
Responsibilities
Make outbound calls to healthcare medical providers to discuss and collect overpayments due to erroneously billed claims
Document collection activity within internal databases detailing notes from calls
Conduct regular communication with healthcare insurance clients and providers on aging inventory
Send refund request letters to healthcare providers via internal system
Update team and management on issues/feedback from calls
Ensure compliance with HIPAA regulations and requirements
Demonstrate Company's Core Competencies and values held within
Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role
The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary
Qualification
Required
High school diploma or GED along with at least two (2) years of medical billing, collections (call center), and customer service experience
Ability to prioritize, coordinate, multitask, think outside the box, and be energetic
Ability to work independently while maintaining close attention to detail
Ability to adapt to a changing environment, manage multiple tasks, and demonstrate outstanding and friendly customer service skills
Computer skills and familiarity with Microsoft Office programs like Outlook, Word, & Excel
Self motivated to ensure individual goals are met or exceeded
Ensure compliance with HIPAA regulations and requirements
Specifications should support the essential functions identified in the job, assuring compliance with the Americans with Disabilities Act (ADA) and other such employment-related acts
Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone
Preferred
Bachelors' degree in a relevant field is preferred
Knowledge or experience with medical coding and regulations preferred
Benefits
Medical, dental and vision coverage with low deductible & copay
Life insurance
Short and long-term disability
Paid Parental Leave
401(k) + match
Employee Stock Purchase Plan
Generous Paid Time Off - accrued based on years of service
10 paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Summer Hours
Sick time benefits - for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.
Company
Claritev
Claritev is an independent and public healthcare technology, data and insights company making healthcare more transparent, fair and affordable for all.
1001-5000 employees
Funding
Current Stage
Public CompanyTotal Funding
$7.18B2025-11-12Post Ipo Secondary· $77.25M
2024-12-24Post Ipo Debt· $4.5B
2020-10-09Post Ipo Equity· $1.3B
Leadership Team
Travis Dalton
President & CEO Claritev
M
Mohamed Ramzy
Senior Vice President & GM International
Recent News
2026-01-06
Morningstar.com
2025-11-14
Company data provided by crunchbase