Claims Recovery Specialist

7 days ago


Memphis, Tennessee, United States Intellivo Full time

Company Overview:

Intellivo is a leading provider of innovative solutions to healthcare clients, utilizing cutting-edge technology to locate previously undetected payment sources and increase revenue.

 

Job Description:

We are seeking a highly skilled Claims Recovery Specialist to join our team. As a Claims Recovery Specialist, you will be responsible for investigating and identifying instances where bills are paid by both health insurance and liability insurance, and seeking reimbursement from medical providers that were overpaid.

 

Responsibilities:

  • Audit Claims: Review payout ledgers from first-party insurance carriers or workers' compensation carriers to identify possible overpayments made on behalf of the member.
  • Investigate and Confirm Overpayments: Verify overpayments made to providers and ensure compliance with relevant regulations.
  • Seek Refunds: Coordinate with medical providers to seek refunds for overpaid amounts.
  • Identify Recoveries: Identify possible recoveries already received by clients and verify the reason for reimbursement.
  • Collaborate with Teams: Work closely with other departments within Intellivo to ensure seamless communication and execution.

 

Qualifications:

  • Experience: Minimum 2 years' experience in medical billing, insurance recovery, or workers' compensation.
  • Skills: Analytical and detailed thought process, excellent knowledge of claims processing and coordination of benefits, excellent oral, written, and interpersonal skills, and ability to work independently and collaborate with a team.

 

Benefits:

  • Competitive Salary: $40,000 + bonus potential
  • Medical Insurance: Comprehensive health insurance plan
  • Dental & Vision Insurance: Coverage for dental and vision expenses
  • Industry-leading Health & Wellness Benefits: Access to top-notch health and wellness programs
  • 401(K) Retirement Plan: Employer-matched retirement savings plan
  • Generous Paid Time Off: Accrued paid time off for relaxation and rejuvenation

 

Location: This role is based at our Memphis, TN office location, providing an excellent opportunity to grow your career in a dynamic and supportive environment.



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