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.
• Monitors daily and weekly inventory to meet internal and regulatory timeframes.
• Identify areas of potential improvement 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 all complaints and appeals.
• Perform additional tasks as assigned.

Requirements

• Excellent verbal and written communication skills.
• Proven organizational and problem-solving skills with attention to detail.
• Knowledge of insurance processes and subrogation concepts.
• Ability to produce grammatically accurate business correspondence.
• Ability to identify urgent situations and follow appropriate protocols.
• Ability to manage multiple priorities in a fast-paced environment.

Benefits

• Innovative health plan model.
• Opportunity to work with a diverse range of employers.
• Potential for hybrid roles for local candidates.