council-capital - Recovery Operations Specialist

Nashville, Tennessee, United States+ Equity3mo ago

Remote Junior NA Support Specialist Microsoft Office

Requirements

• 2+ years of healthcare claims experience. • 2+ years working in Microsoft Office. • 1+ year in a customer-facing role. • Exceptional accuracy, responsiveness, and written and verbal communication. • U.S.-based with work authorization (no offshore; PH • Council Capital and our portfolio companies are committed to building high-performing teams by hiring the best talent—period. • We believe in putting the right people in the right seats, regardless of background, and we’re always looking for individuals who bring fresh thinking, grit, and a drive to make a difference. • Thank you for considering a role with one of our companies. We’re excited to learn more about you.

Responsibilities

• Send 100% of client mailings on the agreed weekly (or prepay) schedule with zero missed cycles; log and tie all inbound letters to the system within 24 hours of receipt. • Create and reconcile monthly (or prepay-cadence) invoices to the client invoice at 100% accuracy, tracking every adjustment with zero unexplained variances (tick-and-tie to inventory). • Acknowledge 100% of provider inquiries (audits, records, discrepancies) within 24 hours, working to minimize provider abrasion. • Coordinate appeals: acknowledge to the provider within 24 hours, route to the correct audit team with zero misroutes, keep payer and provider informed, and meet 100% of fair-hearing deadlines. • Maintain 99% accuracy on all client-related work (client SLA standard is 98%).