Centivo

Recovery Analyst

Centivo

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $55,000 - $60,000 per year

Job Level

Junior

About the role

  • 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.

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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
claims processingsubrogationNSA requestsdata entrydocumentation preparationinvestigationquality improvementcost-saving analysisperformance issue resolutionregulatory compliance
Soft Skills
verbal communicationwritten communicationorganizational skillsproblem-solvingattention to detailrational reasoningability to manage multiple prioritiesability to convey complex informationability to identify urgent situationsability to follow protocols
Certifications
High School diplomaAssociate degree