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Exception Specialist Jobs (NOW HIRING)

Modivcare, Inc.

Exception Specialist

Greenville, SC · On-site

$14.23 - $19.21/hr

The Exception Specialist I position is responsible for the accurate fulfillment and approval procedures related to transportation service requests/reservations before and/or after the transport has ...

Modivcare, Inc.

Exception Specialist

Greenville, SC · On-site

$14.23 - $19.21/hr

TheException Specialist I position is responsible for the accurate fulfillment and approval procedures related to transportation service requests/reservations before and/or after the transport has ...

Heritage Family Credit Union

ACH Specialist

Rutland, VT · On-site

$25 - $30/hr

This back-office operations role is responsible for accurate ACH processing, exception handling, compliance with NACHA rules, and providing support to internal departments. The ACH Specialist also ...

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Exception Specialist information

What are the key skills and qualifications needed to thrive as an Exception Specialist, and why are they important?

To thrive as an Exception Specialist, strong analytical skills, attention to detail, and a background in finance, business, or a related field are essential. Familiarity with exception management software, case management systems, and proficiency in Excel or other data analysis tools are typically required. Excellent problem-solving abilities, effective communication, and adaptability help individuals excel in resolving discrepancies and collaborating across departments. These skills are crucial for minimizing errors, improving operational efficiency, and ensuring compliance with organizational standards.

What are Exception Specialists?

Exception Specialists are professionals who handle and resolve discrepancies, errors, or 'exceptions' that occur during business processes, such as financial transactions, order fulfillment, or data entry. Their main role is to investigate the root cause of these exceptions, communicate with relevant departments, and ensure that issues are corrected promptly to maintain workflow efficiency. Exception Specialists often work in banking, finance, logistics, or customer service environments, and they utilize analytical and problem-solving skills to prevent recurring issues. This position is essential for minimizing operational disruptions and maintaining high standards of accuracy and compliance.

What are some common challenges Exception Specialists face when resolving discrepancies, and how can these be effectively managed?

Exception Specialists frequently encounter complex discrepancies that require careful investigation and coordination with multiple departments, such as finance, operations, or customer service. One common challenge is identifying the root cause of exceptions within tight deadlines, especially when documentation is incomplete or conflicting. Effective management involves strong attention to detail, proactive communication with stakeholders, and leveraging specialized exception management software to track and resolve issues efficiently. Building solid relationships with team members across departments also helps streamline the resolution process.

What is the difference between Exception Specialist vs Claims Processor?

AspectException SpecialistClaims Processor
Required CredentialsTypically requires insurance or healthcare certifications, such as CPC or CHCOften requires basic insurance or healthcare knowledge, sometimes with certifications
Work EnvironmentOffice-based, handling complex claim issues and exception casesOffice or call center, processing standard claims and data entry
Employer & Industry UsageInsurance companies, healthcare providers, third-party administratorsInsurance companies, healthcare organizations, claims departments

The Exception Specialist focuses on resolving complex or unusual claim issues, requiring specialized knowledge and certifications. In contrast, Claims Processors handle routine claim entry and processing tasks. Both roles are vital in the insurance and healthcare industries but differ in complexity and scope.

More about Exception Specialist jobs
What job categories do people searching Exception Specialist jobs look for? The top searched job categories for Exception Specialist jobs are:
Exception Specialist jobs near you
Infographic showing various Exception Specialist job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 2% Temporary, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Exception Specialist

Modivcare, Inc.

Greenville, SC • On-site

$14.23 - $19.21/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Modivcare rating

6.6

Company rating: 6.6 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

571st of 890 rated healthcare providers

Job description

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

The Exception Specialist I position is responsible for the accurate fulfillment and approval procedures related to transportation service requests/reservations before and/or after the transport has taken place, through the use of internal and external resources as well as outreaching to members, facilities, clients and other parties.

This role...

  • Assists in creating, modifying, and recertifying standing orders under supervision.

  • Supports the management of standing orders and hospital discharge trip assignments.

  • Assists in ensuring cost-saving measures are in place by providing data for review.

  • Maintains and updates the facility rolodex with guidance.

  • Assists in investigating and reporting customer service issues and exceptions.

  • Provides initial assistance with benefit utilization issues, verifications, waivers, and pre-authorizations.

  • Participates in the denial and appeal process under supervision.

  • Assists in conducting cancelation audits to ensure reporting accuracy.

  • Supports the management team in basic tasks related to provider liquidated damages and recoupment.

  • Assists with handling and investigating straightforward issues related to utilization.

  • Participates in reviewing utilization and billing trends and reporting findings to senior colleagues.

  • Participates in other projects or duties as assigned.

We are excited to speak to an individual with the following...

  • Excellent customer service and people skills.

  • Ability to work independently or with a team.

  • Ability to quickly learn new technology and processes.

  • Ability to understand and follow complex instructions.

  • Ability to read, write, and understand English fluently.

  • High School Diploma required.

  • Zero (0) plus years of experience.

  • Or equivalent combination of education and/or experience.

Salary: $14.23-$19.21

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonableaccommodationsmay be made to enable qualified individuals with disabilities to perform the essential functions of the job.

Extended periods of sitting; frequent telephone, headset, and computer use; data entry; occasional standing and walking;lifting upto 10 lbs.

Modivcare's positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidatesto submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities andencourage prospective candidates to check back often for new postings.


We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

  • Medical, Dental, and Vision insurance
  • Employer Paid Basic Life Insurance and AD&D
  • Voluntary Life Insurance (Employee/Spouse/Child)
  • Health Care and Dependent Care Flexible Spending Accounts
  • Pre-Tax and Post --Tax Commuter and Parking Benefits
  • 401(k) Retirement Savings Plan with Company Match
  • Paid Time Off
  • Paid Parental Leave
  • Short-Term and Long-Term Disability
  • Tuition Reimbursement
  • Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

  • EEO is The Law - click here for more information
  • Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
  • We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us athr.recruiting@modivcare.com

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