Case Development Specialist

Reposted 16 Days Ago
Be an Early Applicant
Memphis, TN
In-Office
Entry level
Healthtech
The Role
Investigate medical and insurance claims to identify recovery opportunities, improve processes, and maintain data accuracy in a fast-paced environment.
Summary Generated by Built In

Case Development 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 Case Development Specialist, you are responsible for investigating a large volume of files containing medical and insurance claim information to determine whether the possibility exists of recovering funds previously paid in error by our clients’ self-funded health plans, due to the potential fault of other parties.

 

This position focuses on interpreting information related to insurance and medical claims in order to both determine recovery opportunities and improve the accuracy and specificity of the overall subrogation case identification process. This position requires strong attention to detail, the ability to adapt to and develop new processes and priorities, excellent computer skills, critical thinking skills, and ability to work in a fast-paced environment.

 

Location 

 

6075 Poplar Ave, Suite #800  Memphis, TN

 

Responsibilities 

 

  • Review and compare medical claims data and property & casualty database results to determine liability/recovery potential
  • Interpret property & casualty database results
  • Recognize patterns in accident listings, medical claims data, and matters with recovery potential to improve overall accuracy and case creation volume
  • Data entry
  • Provide lien information as needed/where applicable
  • Handle incoming and outgoing calls to members, attorneys, third party administrators, and insurance adjusters

 

Qualifications 

 

  • Well-organization and strong attention to detail
  • Ability to work both independently and in a team setting
  • Associates or Bachelors Degree preferred but not required
  • Excellent computer and data entry skills
  • Working knowledge of MS Office products (Outlook, Word, Excel)
  • Flexible with ability to work in a fast-paced and changing environment

 

Why work for Intellivo? 

  • Amazing Team Members – Intellivators!
  • Medical Insurance
  • Dental & Vision Insurance
  • Industry leading health & wellness benefits
  • 401(K) retirement plan
  • Generous Paid Time Off
  • And More!

*Benefit Recovery Group has been renamed Intellivo. 

Top Skills

Excel)
Ms Office (Outlook
Word
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The Company
HQ: Memphis, Tennessee
112 Employees
Year Founded: 1999

What We Do

Intellivo provides technology-enabled pre-bill and post-pay TPL identification and full recovery solutions for complex claims that improve payment accuracy, maximize savings, increase recovery speed, and provide a positive experience for providers and patients and for health plans and plan members. Intellivo illuminates the full story behind healthcare costs sparking opportunities for measurable savings and returns and empowers providers, health plans and consumers to take control of healthcare costs. For more information, please visit intellivo.com.

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