Centivo is hiring a Recovery Analyst to join our mission of bringing affordable, high-quality healthcare to millions who struggle with their bills. In this role, you will manage all file requirements from beginning to end for subrogation cases, No Surprises Act disputes, and overpayment recoveries with an assigned third-party vendor.

What You'll Do

Prepare documentation, review claim history, and other materials 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.
Monitor 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.
Notify assigned vendors and clients of subrogation and recovery interest; confer with other parties, internal departments, and clients concerning potential settlement or other actions.
Represent 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.

What We're Looking For

High School diploma or equivalent.
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.
Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information.
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.
Ability to appropriately identify urgent situations and follow the appropriate protocol.
Ability to plan, manage multiple priorities, and deliver complete, accurate, and timely results in a fast-paced office environment.