Recovery Analyst jobs in United States
cer-icon
Apply on Employer Site
company-logo

Centivo · 17 hours ago

Recovery Analyst

Centivo is an innovative health plan for self-funded employers focused on providing affordable healthcare. The Recovery Analyst is responsible for managing subrogation cases, No Surprises Act disputes, and overpayment recoveries, ensuring compliance and effective communication with internal and external stakeholders.

Health CareInformation TechnologyMedical

Responsibilities

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

Qualification

Insurance processesSubrogation conceptsNSA requests experienceOrganizational skillsProblem-solving skillsAttention to detailManage prioritiesVerbal communicationWritten communicationFast-paced environment adaptability

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
High School diploma or equivalent required
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

Preferred

Associate degree preferred

Company

Centivo

twittertwittertwitter
company-logo
Centivo offers a digital health plan aimed at self-funded employers looking to provide employees with care.

Funding

Current Stage
Growth Stage
Total Funding
$226.4M
Key Investors
Morgan HealthB Capital,Maverick VenturesB Capital
2024-09-24Series Unknown· $75M
2024-09-24Debt Financing
2022-07-19Series B· $30M

Leadership Team

leader-logo
Alan Cohen
Chief Product Officer & Co-Founder
linkedin
leader-logo
Wayne Jenkin
Chief Medical Officer
linkedin
Company data provided by crunchbase