Medical Bill Review Specialist

7 days ago


Memphis, Tennessee, United States Intellivo Full time
About Us

Intellivo is a leading provider of innovative solutions to health providers, billers, health plans, and payers. Our cutting-edge technology, powered by IntellivoIQ, helps identify previously undetected payment sources to increase revenue for our healthcare clients.

Our Mission

We aim to create an environment where talent is valued, and excellence is rewarded. Our collaborative culture fosters open communication, and we continue to grow through innovation and expertise.

Job Title: Medical Bill Review Specialist

This role involves investigating instances where bills are paid by multiple insurance carriers, identifying potential overpayments, and seeking reimbursement from medical providers.

Responsibilities:
  • Review payout ledgers from first-party insurance carriers or workers' compensation carriers to audit claims paid on behalf of the member.
  • Investigate and confirm overpayments made to providers.
  • Seek refunds from medical providers 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 other departments within Intellivo as necessary.
  • Contact Worker's Compensation Adjusters to verify claim eligibility.
Requirements:
  • Minimum 2 years of experience in medical billing, insurance recovery, or worker's compensation.
  • Analytical and detailed thought process.
  • Excellent knowledge of claims processing and coordination of benefits.
  • Strong oral, written, and interpersonal skills, including telephone etiquette.
  • Able to work independently and collaboratively as part of 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.
Compensation:

The estimated salary range for this position is $45,000 - $60,000 per year, depending on experience. Additionally, Intellivo offers competitive benefits, including medical insurance, dental and vision insurance, industry-leading health and wellness benefits, a 401(k) retirement plan, and generous paid time off.



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