Recovery Analyst - Remote

Overview

The Recovery Analyst is primarily responsible for managing all file requirements from beginning to end for subrogation cases, No Surprises Act (NSA) disputes, and overpayment recoveries with the assigned third-party vendor.

In Short

• Prepare documentation and review claim history related to overpayment, subrogation, and NSA requests.
• Utilize resources to investigate claim situations for overpayment, subrogation, and NSA cases.
• Follow-up with responsible departments to ensure compliance.
• Monitor daily and weekly inventory to meet internal and regulatory timeframes.
• Identify improvement areas and provide feedback to management.
• Notify vendors and clients of subrogation and recovery interest.
• Represent Centivo in meetings concerning recovery, subrogation, and NSA matters.
• Maintain data entry requirements for complaints and appeals.
• Perform additional tasks as assigned.

Requirements

• Excellent verbal and written communication skills.
• Proven organizational and problem-solving skills.
• Knowledge of applicable rules and statutes related to insurance.
• Ability to produce grammatically accurate business correspondence.
• Ability to identify urgent situations and follow appropriate protocol.
• Ability to manage multiple priorities in a fast-paced environment.

Benefits

• Innovative health plan for self-funded employers.
• Potential for significant savings on healthcare costs.
• Opportunity to work in a dynamic and supportive environment.