[Skip to main content](#main-content) [OpenNash Jobs](https://jobs.opennash.com/) [Hiring report](/reports/hiring/) · [All Molina Healthcare jobs](https://jobs.opennash.com/companies/molina-healthcare/) · [Search jobs](/search/) Molina Healthcare · Spokane, WA # Specialist, Claims Recovery-Spokane, WA Office Spokane, WA, United States Administrative Listed on Molina Healthcare’s official careers site. Posted October 23, 2026. Check that it is still open and apply there. [Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2040003) [OpenNash Jobs](https://jobs.opennash.com/) / [Molina Healthcare](https://jobs.opennash.com/companies/molina-healthcare/) / Specialist, Claims Recovery-Spokane, WA Office ## Job description ### Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards. ### Essential Job Duties - Prepares written provider overpayment notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. - Maintains and reconciles department reports for outstanding payments collected, past-due overpayments, uncollectible claims and autopayment recoveries. - Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval. - Researches simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers. - Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related group (DRG) requests. - Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application. - Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund request letters, refund checks, claim reversals), and reporting and documentation of recovery as explained in departmental Standard Operating Procedures (SOPs). - Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred. - Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. - Supports claims department initiatives to improve overall claims function efficiency. - Meets claims department quality and production standards. - Completes basic claims projects as assigned. ### Required Qualifications - At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience. - Research and data entry skills. - Organizational skills and attention to detail. - Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. ### Preferred Qualifications - Claims recovery experience. - Health insurance experience in a managed care setting. ### To all current Molina employees If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V ## At a glance - Posted by the employer: Oct 23, 2026 - First seen by OpenNash: Oct 25, 2026 - Last checked: Nov 1, 2026 - Listed for: 9 days - Location: Spokane, WA, United States[Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2040003) ## Hiring at Molina Healthcare - Open jobs: 439 - New in the last 7 days: After two weekly collections - Tracked since: Jul 10, 2026 [All Molina Healthcare jobs](https://jobs.opennash.com/companies/molina-healthcare/) · [Weekly hiring report](/reports/hiring/) ## More jobs at Molina Healthcare ### [Field Nurse Practitioner (Spokane, WA)](https://jobs.opennash.com/companies/molina-healthcare/jobs/217d645f4db012a92761/) Spokane, WA, United States ### [Transition of Care Coach (BH Licensed) - Local Travel Required](https://jobs.opennash.com/companies/molina-healthcare/jobs/b2653e893f3b2ff82b37/) Spokane, WA, United States ### [Transition of Care Coach - LOCAL TRAVEL REQUIRED](https://jobs.opennash.com/companies/molina-healthcare/jobs/ff1cd41cf621c842da92/) Spokane, WA, United States ### [Associate Specialist, Provider Network Administration](https://jobs.opennash.com/companies/molina-healthcare/jobs/299eb824456dfc7b8c91/) Tampa, FL, United States ### [Senior Specialist, Provider Network Administration- REMOTE](https://jobs.opennash.com/companies/molina-healthcare/jobs/cb42014a09c190447a69/) United States ## Similar jobs at other companies ### [Meat Manager Spokane, WA.](https://jobs.opennash.com/companies/albertsons/jobs/4308686cb18364ec838c/) Albertsons · Spokane, WA, United States ### [Person In Charge (PIC) Spokane](https://jobs.opennash.com/companies/albertsons/jobs/f173bb2c427cf8b36578/) Albertsons · Spokane, WA, United States ### [Associate Banker, 30 Hours, Spokane, WA Area - Multiple Locations](https://jobs.opennash.com/companies/jpmorganchase/jobs/a3d123b12bce99d378c9/) JPMorganChase · Spokane, WA, United States ### [Private Client Banker - East 57th and Regal Branch - Spokane, WA](https://jobs.opennash.com/companies/jpmorganchase/jobs/630cd05d251a5a67c226/) JPMorganChase · Spokane, WA, United States ### [store manager, Spokane](https://jobs.opennash.com/companies/starbucks/jobs/050252c462c6fca6f9c8/) Starbucks · Spokane, Washington, United States OpenNash lists jobs from employers’ own careers sites and does not handle applications. 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