Insurance Reimbursement Specialist (Duplicate Payments)

divh2Insurance Reimbursement Specialist/h2pDuplicate payments are common in accident-related healthcare claims and insurance billing workflows. In this role, you help health plans recover overpayments and ensure proper coordination between multiple insurers./ppAs an Insurance Reimbursement Specialist, you will support healthcare reimbursement and payer operations by identifying claims where a medical provider was paid by both the health plan and another carrier, such as auto or workers compensation insurance. You will analyze claims and payment data, validate overpayments, contact providers, and drive refunds through to resolution./ppThis role is ideal for someone with experience in medical billing, insurance claims, revenue cycle operations, or post-pay audit who enjoys detailed work, investigative analysis, and producing measurable financial results for clients./ppCompensation:/pulliOn-Target Earnings (OTE): $48,000 $60,000 annually (includes base salary plus performance-based commission)/li/ulh3Responsibilities:/h3ulliReview insurance claims, billing, and payment data to identify potential duplicate payments/liliConfirm whether providers were paid by both a health plan and another payer (auto, workers compensation, or liability carriers)/liliContact providers to request refunds for verified overpayments and duplicate reimbursements and follow through until funds are received/liliTrack recovery activity through completion and ensure accurate posting of returned funds/liliReceive, review, and document refund payments and remittance advice/liliResearch returned reimbursements and validate root causes/liliPartner with internal reimbursement, revenue cycle, and payer operations teams to surface new recovery opportunities/liliMaintain clear, accurate case notes and communication records in claims or recovery systems/liliSupport productivity and financial recovery goals for assigned workloads/li/ulh3Qualifications:/h3ulli3+ years experience in medical billing, insurance claims, revenue cycle management, post-pay audit, coordination of benefits, or subrogation/liliFamiliarity with payer workflows, EOBs, and provider billing practices/liliExperience working in claims systems or billing platforms/liliStrong written, verbal, and phone-based communication skills/liliHighly organized and comfortable managing steady case volumes/liliDetail-oriented with a proactive, persistent follow-up style/liliAbility to work independently while collaborating with teammates/li/ulpWho is Intellivo?/ppAs an industry market leader in subrogation, Intellivo empowers health plans and insurers to maximize financial outcomes by identifying and pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers. Through innovative technology, Intellivo accelerates the identification of reimbursement opportunities while completely eliminating the need to fill information gaps through ineffective and burdensome outreach to plan members. With a 25-year history of excellence, Intellivo proudly serves more than 200 of the countrys largest health plans./ppWhy work for Intellivo?/pulliAmazing Team Members Intellivators!/liliMedical Insurance/liliDental Vision Insurance/liliIndustry leading health wellness benefits/lili401(K) retirement plan/liliCompetitive Paid Time Off/liliAnd More!/li/ul/div