About the Role
Duplicate payments are common in accident-related medical claims. Your work ensures these issues are caught quickly on behalf of our clients and funds are returned to the health plan appropriately.
As a Duplicate Payment Recovery Specialist, you will help ensure our clients’ health plans are properly reimbursed when a medical claim has been paid by both the health plan and another insurance carrier due to an accident. Your primary responsibility is to identify situations where a medical provider received duplicate payment both from our client and an alternative payer, and then request, follow up on, and secure the appropriate refund from the provider.
You’ll review claims and payment data, confirm overpayments, communicate with providers, and keep clear documentation of each recovery.
This role is a great fit for someone who enjoys detailed billing work, problem-solving, and contributing to meaningful financial outcomes for clients.
Responsibilities:
- Review claims and payment data to identify potential duplicate payments
- Confirm whether a provider was paid once by our client and again by another insurer or plan
- Contact providers to request refunds for verified duplicate payments, and follow through until funds are received
- Receive, review, and document both solicited and unsolicited refund checks
- Research any reimbursements already returned by providers and confirm the reason
- Partner with internal reimbursement teams to surface new duplicate payment opportunities
- Maintain clear, accurate case notes and communication records
Qualifications:
- 3 years’ experience in medical billing, claims processing, subrogation, revenue cycle management, or coordination of benefits
- Familiarity with claims workflows and billing practices
- Clear, professional communication skills, written, verbal, and phone-based
- Strong organizational skills and comfort managing a steady volume of tasks
- A detail-oriented with a proactive approach, you follow up, ask good questions, and keep work moving
- Ability to work independently while also collaborating with teammates when needed
Who is Intellivo?
As 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 country’s largest health plans.
Why work for Intellivo?
Imagine a place where your talent is treasured, and excellence is rewarded. Now imagine a collaborative culture where every voice is valued. We are a team united by solving some of the most complex challenges on the financial side of healthcare.
- Amazing Team Members – Intellivators!
- Medical Insurance
- Dental & Vision Insurance
- Industry leading health & wellness benefits
- 401(K) retirement plan
- Competitive Paid Time Off
- And More!
*Benefit Recovery Group has been renamed Intellivo.
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.
