Claim Review Specialist
24 hours ago
Claim Review Specialist
Who is Intellivo?
Powered by IntellivoIQ technology, we provide solutions to health providers, billers, health plans, and payers by locating previously undetected auto and workers' compensation payment sources to increase revenue for our healthcare clients.
Imagine a place where your talent is treasured, and excellence is rewarded. Now imagine a collaborative culture where every voice is valued. Fueled by over 25 years of experience and our innovative mentality, we continue to grow fast.
Role Summary
As a Claim Review Specialist, you will be responsible for investigating and identifying instances where bills are paid by both the health insurance and liability insurance then seeking reimbursement from the medical providers that were overpaid.
Location
This role is an on-site position at 6075 Poplar Ave., Memphis, TN 38119
Responsibilities
- Review payout ledger from first-party insurance carriers or workers' compensation carriers to audit claims paid on behalf of the member to identify possible overpayments
- Investigate and confirm overpayments made to providers
- Seek refund(s) from medical provider(s) who were overpaid by the health plan's payment
- Identify possible recoveries already received by a client and verify the reason for the reimbursement
- Coordinate with all other departments within Intellivo when necessary
- Contact Worker's Compensation Adjuster to verify claim eligibility
Our backgrounds are varied at Intellivo. If these statements sound like you, you might be a good fit for this role:
- Minimum 2 years' experience in medical billing, insurance recovery, or Worker's Compensation
- Analytical and detailed in thought and action
- Excellent knowledge of claims processing and coordination of benefits
- Excellent oral, written and interpersonal skills, including telephone etiquette
- Demonstrated ability to work independently and to collaborate with a team
- Ability to multi-task and prioritize work
- Proficiency in Microsoft applications, including Word and Excel
- High school diploma or equivalent
- Some college preferred
- Amazing Team Members - Intellivators
- Base compensation plus bonus potential
- Medical Insurance
- Dental & Vision Insurance
- Industry leading health & wellness benefits
- 401(K) retirement plan
- Generous Paid Time Off
- And More
*Benefit Recovery Group has been renamed Intellivo.
-
Process Review Specialist
3 weeks ago
Memphis, United States First Horizon National Corporation Full timeLocation: On site at Knoxville, TN., Memphis, TN., or New Orleans, LA.At First Horizon Bank Operations, we are on a mission to deliver a seamless customer experience. We are passionate about doing things right and doing the right things. We collaborate with each other and with our internal business partners to delight our customers. We believe in creating an...
-
Process Review Specialist
3 weeks ago
Memphis, United States First Horizon National Corporation Full timeLocation: On site at location listed in job posting.At First Horizon Bank Operations, we are on a mission to deliver a seamless customer experience. We are passionate about doing things right and doing the right things. We collaborate with each other and with our internal business partners to delight our customers. We believe in creating an environment where...
-
Specialist-Customer Care II
3 months ago
Memphis, United States Baptist Memorial Healthcare Corporation Full timeSummary Responsible for daily customer inquiries from internal and external customers to completion. Responsible for the daily completion of both claims edit, denial, and no response billing functions for timely follow up. Handles internal and external questions to completion. Understands both paper and electronic claims as well as client invoice billing....
-
Specialist-Customer Care II
3 months ago
Memphis, United States Baptist Memorial Full timeSummary Responsible for daily customer inquiries from internal and external customers to completion. Responsible for the daily completion of both claims edit, denial, and no response billing functions for timely follow up. Handles internal and external questions to completion. Understands both paper and electronic claims as well as client invoice billing....
-
Customer Service Representative
2 weeks ago
Memphis, United States Advertising Checking Bureau Full timeThe CSR is responsible for providing outstanding customer service to clients, customers (internal and external) and third parties via telephone, email, and fax. The CSR ensures compliance with client's program specifications and ACB policies and procedures. Specific CSR duties may be dependent on the client(s) they support. CSR must manage communications...
-
Asset Management Specialist
4 weeks ago
Memphis, United States Silver Tree Residential, LLC Full timeSilver Tree Residential, LLC (STR) is one of the fastest growing property management companies in the industry. We are a privately-owned Memphis-based multifamily real estate company that owns and operates 100 properties in 26 states totaling nearly 13,500 units. James Carmichael formed STR in 2009 to achieve the quality standards that he strived for in each...
-
Asset Protection Specialist
2 months ago
Memphis, United States Home Depot Full timeHome Depot - JobID: 4FF4C3AB797F40628EE1D0317CDAC89F [Loss Prevention / Security] As an Asset Protection Specialist at Home Depot, you'll: Prevent financial loss caused by theft and fraud; Support safety and environmental program compliance in your assigned store/multiple stores; Identify incidents of theft and fraud, review CCTV and exception reports,...
-
Asset Protection Specialist
2 months ago
Memphis, United States Home Depot Full timeHome Depot - JobID: 22AC213B54244264B96BBD676C03845C [Loss Prevention / Security] As an Asset Protection Specialist at Home Depot, you'll: Prevent financial loss caused by theft and fraud; Support safety and environmental program compliance in your assigned store/multiple stores; Identify incidents of theft and fraud, review CCTV and exception reports,...
-
Asset Protection Specialist
2 months ago
Memphis, United States Home Depot Full timeHome Depot - JobID: C102D7E54A6E4F9E8E6F56B0CBF27CAF [Loss Prevention / Security] As an Asset Protection Specialist at Home Depot, you'll: Prevent financial loss caused by theft and fraud; Support safety and environmental program compliance in your assigned store/multiple stores; Identify incidents of theft and fraud, review CCTV and exception reports,...
-
Asset Protection Specialist
2 months ago
Memphis, United States Home Depot Full timeHome Depot - JobID: 66887EEEB70F48C797BBC4F4940D10E6 [Loss Prevention / Security] As an Asset Protection Specialist at Home Depot, you'll: Prevent financial loss caused by theft and fraud; Support safety and environmental program compliance in your assigned store/multiple stores; Identify incidents of theft and fraud, review CCTV and exception reports,...
-
Asset Protection Specialist
2 days ago
Memphis, United States Home Depot Full timeHome Depot - JobID: C102D7E54A6E4F9E8E6F56B0CBF27CAF [Loss Prevention / Security] As an Asset Protection Specialist at Home Depot, you'll: Prevent financial loss caused by theft and fraud; Support safety and environmental program compliance in your assigned store/multiple stores; Identify incidents of theft and fraud, review CCTV and exception reports,...
-
Asset Protection Specialist
2 days ago
Memphis, United States Home Depot Full timeHome Depot - JobID: F295AE3D74644D368242426847A44EC7 [Loss Prevention / Security] As an Asset Protection Specialist at Home Depot, you'll: Prevent financial loss caused by theft and fraud; Support safety and environmental program compliance in your assigned store/multiple stores; Identify incidents of theft and fraud, review CCTV and exception reports,...
-
Asset Protection Specialist
2 days ago
Memphis, United States Home Depot Full timeHome Depot - JobID: 4FF4C3AB797F40628EE1D0317CDAC89F [Loss Prevention / Security] As an Asset Protection Specialist at Home Depot, you'll: Prevent financial loss caused by theft and fraud; Support safety and environmental program compliance in your assigned store/multiple stores; Identify incidents of theft and fraud, review CCTV and exception reports,...
-
Asset Protection Specialist
2 days ago
Memphis, United States Home Depot Full timeHome Depot - JobID: 66887EEEB70F48C797BBC4F4940D10E6 [Loss Prevention / Security] As an Asset Protection Specialist at Home Depot, you'll: Prevent financial loss caused by theft and fraud; Support safety and environmental program compliance in your assigned store/multiple stores; Identify incidents of theft and fraud, review CCTV and exception reports,...
-
Asset Protection Specialist
2 days ago
Memphis, United States Home Depot Full timeHome Depot - JobID: 22AC213B54244264B96BBD676C03845C [Loss Prevention / Security] As an Asset Protection Specialist at Home Depot, you'll: Prevent financial loss caused by theft and fraud; Support safety and environmental program compliance in your assigned store/multiple stores; Identify incidents of theft and fraud, review CCTV and exception reports,...
-
Medical Support Specialist
3 weeks ago
Memphis, Tennessee, United States Takeda Full timeAbout the Role:As a Medical Support Specialist at BioLife, you will play a critical role in ensuring the safety and well-being of donors. Your primary responsibility will be to determine donor eligibility for plasma donation, which includes conducting medical history interviews, reviewing laboratory test results, and managing donor adverse events. You will...
-
IT Systems Analyst Specialist Sr
4 months ago
Memphis, United States TAJ Technologies Inc Full timeMANAGER'S NOTES: • Bachelor's degree required; major in computer science field preferred. • Six (6) years of related experience or an equivalent combination of education and experience is required. Experience in multi-line claims management or case management processes and system requirements is strongly preferred. • Strong knowledge of...
-
Transportation Safety Specialist
2 months ago
West Memphis, United States GPM Investments, LLC Full timePerform Fleet and Safety inspections on Drivers and Transportation equipment. Review telematics management system for DOT Compliance. Facilitate communication between drivers and dispatch on needed repairs and/or maintenance to fleet vehicles. Review Safety Specialist, Transportation, Transport, Specialist, Manufacturing, Safety
-
Cyberveiligheid Specialist
22 hours ago
Memphis, Tennessee, United States HSD Campus Full timeCyberveiligheid SpecialistWe zoeken een Cyberveiligheid Specialist voor onze organisatie. Als Cyberveiligheid Specialist zul je ons helpen om de beste cyberveiligheid oplossingen te ontwikkelen en uit te voeren.Functieomschrijving:Het belangrijkste doel van deze positie is het identificeren en analyseren van cybersecurity-risico's en -zwaktes in onze...
-
Senior Financial Reporting Specialist
22 hours ago
Memphis, Tennessee, United States THORNDALE PARTNERS Full timeThorndale Partners, LLC is a trusted talent acquisition partner dedicated to providing a premium experience for both job seekers and hiring managers.Compensation: The estimated salary for this role is $85,000 - $110,000 per year, depending on qualifications and experience.About the RoleThis Senior Financial Reporting Specialist position provides key support...