Insurance Reimbursement Specialist (Duplicate Payments)
Intellivo, Creve Coeur, MO, United States
About The Role
Duplicate 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.
As 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.
This 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.
Compensation
On-Target Earnings (OTE): $48,000 – $60,000 annually (includes base salary plus performance-based commission).
Responsibilities
Review insurance claims, billing, and payment data to identify potential duplicate payments.
Confirm whether providers were paid by both a health plan and another payer (auto, workers’ compensation, or liability carriers).
Contact providers to request refunds for verified overpayments and duplicate reimbursements and follow through until funds are received.
Track recovery activity through completion and ensure accurate posting of returned funds.
Receive, review, and document refund payments and remittance advice.
Research returned reimbursements and validate root causes.
Partner with internal reimbursement, revenue cycle, and payer operations teams to surface new recovery opportunities.
Maintain clear, accurate case notes and communication records in claims or recovery systems.
Support productivity and financial recovery goals for assigned workloads.
Qualifications
3+ years’ experience in medical billing, insurance claims, revenue cycle management, post-pay audit, coordination of benefits, or subrogation.
Familiarity with payer workflows, EOBs, and provider billing practices.
Experience working in claims systems or billing platforms.
Strong written, verbal, and phone-based communication skills.
Highly organized and comfortable managing steady case volumes.
Detail-oriented with a proactive, persistent follow-up style.
Ability to work independently while collaborating with teammates.
Benefits
Medical Insurance
Dental & Vision Insurance
Industry leading health & wellness benefits
401(k) retirement plan
Competitive Paid Time Off
And More!
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Duplicate 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.
As 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.
This 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.
Compensation
On-Target Earnings (OTE): $48,000 – $60,000 annually (includes base salary plus performance-based commission).
Responsibilities
Review insurance claims, billing, and payment data to identify potential duplicate payments.
Confirm whether providers were paid by both a health plan and another payer (auto, workers’ compensation, or liability carriers).
Contact providers to request refunds for verified overpayments and duplicate reimbursements and follow through until funds are received.
Track recovery activity through completion and ensure accurate posting of returned funds.
Receive, review, and document refund payments and remittance advice.
Research returned reimbursements and validate root causes.
Partner with internal reimbursement, revenue cycle, and payer operations teams to surface new recovery opportunities.
Maintain clear, accurate case notes and communication records in claims or recovery systems.
Support productivity and financial recovery goals for assigned workloads.
Qualifications
3+ years’ experience in medical billing, insurance claims, revenue cycle management, post-pay audit, coordination of benefits, or subrogation.
Familiarity with payer workflows, EOBs, and provider billing practices.
Experience working in claims systems or billing platforms.
Strong written, verbal, and phone-based communication skills.
Highly organized and comfortable managing steady case volumes.
Detail-oriented with a proactive, persistent follow-up style.
Ability to work independently while collaborating with teammates.
Benefits
Medical Insurance
Dental & Vision Insurance
Industry leading health & wellness benefits
401(k) retirement plan
Competitive Paid Time Off
And More!
#J-18808-Ljbffr