Intellivo
Claim Review Specialist
Intellivo, Memphis, Tennessee, us, 37544
Claim Review Specialist
Who is Intellivo?
Powered by IntellivoIQ technology, we provide solutions to health providers, billers, health plans, and payers by locating previously undetected auto and workers' compensation payment sources to increase revenue for our healthcare clients.
Imagine a place where your talent is treasured, and excellence is rewarded. Now imagine a collaborative culture where every voice is valued. Fueled by over 25 years of experience and our innovative mentality, we continue to grow fast.
Role Summary
As a Claim Review Specialist, you will be responsible for investigating and identifying instances where bills are paid by both the health insurance and liability insurance then seeking reimbursement from the medical providers that were overpaid.
Location
This role is an on-site position at 6075 Poplar Ave., Memphis, TN 38119
Responsibilities
Review payout ledger from first-party insurance carriers or workers' compensation carriers to audit claims paid on behalf of the member to identify possible overpaymentsInvestigate and confirm overpayments made to providersSeek refund(s) from medical provider(s) who were overpaid by the health plan's paymentIdentify possible recoveries already received by a client and verify the reason for the reimbursementCoordinate with all other departments within Intellivo when necessaryContact Worker's Compensation Adjuster to verify claim eligibilityQualifications
Our backgrounds are varied at Intellivo. If these statements sound like you, you might be a good fit for this role:
Minimum 2 years' experience in medical billing, insurance recovery, or Worker's CompensationAnalytical and detailed in thought and actionExcellent knowledge of claims processing and coordination of benefitsExcellent oral, written and interpersonal skills, including telephone etiquetteDemonstrated ability to work independently and to collaborate with a teamAbility to multi-task and prioritize workProficiency in Microsoft applications, including Word and ExcelHigh school diploma or equivalentSome college preferredWhy work for Intellivo?
Amazing Team Members - Intellivators!Base compensation plus bonus potentialMedical InsuranceDental & Vision InsuranceIndustry leading health & wellness benefits401(K) retirement planGenerous Paid Time OffAnd More!
*Benefit Recovery Group has been renamed Intellivo.
Who is Intellivo?
Powered by IntellivoIQ technology, we provide solutions to health providers, billers, health plans, and payers by locating previously undetected auto and workers' compensation payment sources to increase revenue for our healthcare clients.
Imagine a place where your talent is treasured, and excellence is rewarded. Now imagine a collaborative culture where every voice is valued. Fueled by over 25 years of experience and our innovative mentality, we continue to grow fast.
Role Summary
As a Claim Review Specialist, you will be responsible for investigating and identifying instances where bills are paid by both the health insurance and liability insurance then seeking reimbursement from the medical providers that were overpaid.
Location
This role is an on-site position at 6075 Poplar Ave., Memphis, TN 38119
Responsibilities
Review payout ledger from first-party insurance carriers or workers' compensation carriers to audit claims paid on behalf of the member to identify possible overpaymentsInvestigate and confirm overpayments made to providersSeek refund(s) from medical provider(s) who were overpaid by the health plan's paymentIdentify possible recoveries already received by a client and verify the reason for the reimbursementCoordinate with all other departments within Intellivo when necessaryContact Worker's Compensation Adjuster to verify claim eligibilityQualifications
Our backgrounds are varied at Intellivo. If these statements sound like you, you might be a good fit for this role:
Minimum 2 years' experience in medical billing, insurance recovery, or Worker's CompensationAnalytical and detailed in thought and actionExcellent knowledge of claims processing and coordination of benefitsExcellent oral, written and interpersonal skills, including telephone etiquetteDemonstrated ability to work independently and to collaborate with a teamAbility to multi-task and prioritize workProficiency in Microsoft applications, including Word and ExcelHigh school diploma or equivalentSome college preferredWhy work for Intellivo?
Amazing Team Members - Intellivators!Base compensation plus bonus potentialMedical InsuranceDental & Vision InsuranceIndustry leading health & wellness benefits401(K) retirement planGenerous Paid Time OffAnd More!
*Benefit Recovery Group has been renamed Intellivo.