Centivo

A new kind of healthcare company committed to restoring affordability for American workers and their employers

Recovery Analyst

AnalystAnalystFull TimeRemoteTeam 201-500Since 2017H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

36 days ago

Salary

$55K - $60K / year

High School1 yr expExperience acceptedEnglish

Job Description

• Prepare documentation, review claim history, and other documentation related to overpayment, subrogation, and NSA requests. • Utilize available resources to investigate claim situations for overpayment, subrogation, and NSA cases. • Follow-up with responsible departments and delegated entities to ensure compliance. • Monitors daily and weekly inventory to ensure internal and regulatory timeframes are met. • Identify areas of potential improvement and provide feedback and recommendations to management on issue resolution, quality improvement, network contracting, policies and procedures, administrative costs, cost-saving opportunities, best practices, and performance issues. • Notifies the assigned vendors and clients of the subrogation and recovery interest; confers with other parties, internal departments, and clients concerning potential settlement or other actions. • Represents Centivo in meetings concerning recovery, subrogation, and NSA matters, including facilitating calls between Centivo’s third-party vendor and the client, to obtain final approval. • Maintain data entry requirements for all complaints and appeals. • Perform any other additional tasks or duties as assigned or required.

Job Requirements

  • High School diploma or equivalent required, Associate degree preferred.
  • At least one year of experience in health plan operations, claims processing, or other experience directly related to position duties and knowledge.
  • At least one year of experience in NSA requests and subrogation.
  • Additional years of experience/training may be considered in lieu of educational requirements required.
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others.
  • Must possess proven organizational, rational reasoning, ability to examine information, and problem-solving skills, with attention to detail necessary to act within complex environment.
  • Knowledge of applicable rules and statutes, of the process and principles of insurance and of basic subrogation and NSA concepts.
  • Ability to comprehend and produce grammatically accurate, error-free business correspondence required.
  • Ability to appropriately identify urgent situations and follow the appropriate protocol.
  • Requires the ability to plan, manage multiple priorities, and deliver complete, accurate, and timely results in a fast-paced office environment.

Benefits

  • Offers Equity
  • Offers Bonus

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