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A new kind of healthcare company committed to restoring affordability for American workers and their employers
Recovery Analyst
Location
United States
Posted
119 days ago
Salary
$55K - $60K / year
Seniority
Junior
Job Description
Recovery Analyst
Centivo
• 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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