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Insurance Claims Auditor
2 months ago
Salary: $40k +
About Intellivo:
At Intellivo, we leverage our proprietary IntellivoIQ technology to deliver innovative solutions to healthcare providers, billing professionals, health plans, and payers. Our mission is to uncover previously unnoticed sources of auto and workers' compensation payments, ultimately enhancing revenue for our healthcare partners.
Company Culture:
We foster an environment where talent is valued and excellence is recognized. Our collaborative culture ensures that every team member's voice is heard, driving our growth fueled by over 25 years of industry experience.
Position Summary:
The Claim Review Specialist plays a crucial role in analyzing and identifying cases where payments have been made by both health and liability insurance. This position involves seeking reimbursement from medical providers for any overpayments identified.
Key Responsibilities:
- Examine payout ledgers from first-party insurance or workers' compensation carriers to audit claims and identify potential overpayments.
- Investigate and validate overpayments made to healthcare providers.
- Request refunds from medical providers who have received excess payments from health plans.
- Assess recoveries already obtained by clients and confirm the reasons for those reimbursements.
- Collaborate with various departments within Intellivo as needed.
- Engage with Worker's Compensation Adjusters to confirm claim eligibility.
Qualifications:
We welcome diverse backgrounds at Intellivo. Ideal candidates will resonate with the following:
- At least 2 years of experience in medical billing, insurance recovery, or workers' compensation.
- Strong analytical skills with attention to detail.
- Comprehensive understanding of claims processing and coordination of benefits.
- Exceptional verbal, written, and interpersonal communication skills.
- Proven ability to work independently while also being a collaborative team player.
- Capacity to manage multiple tasks and prioritize effectively.
- Proficiency in Microsoft Office applications, particularly Word and Excel.
- High school diploma or equivalent; some college education preferred.
Why Choose Intellivo?
- Collaborative and supportive team environment.
- Competitive base salary with bonus opportunities.
- Comprehensive medical, dental, and vision insurance.
- Leading health and wellness benefits.
- 401(K) retirement savings plan.
- Generous paid time off policy.
- And much more
