Recovery Analyst

Remote

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Candidates should possess a High School diploma or equivalent, with an Associate degree being preferred. A minimum of one year of experience in health plan operations, claims processing, subrogation, or a related field is required. Proven organizational, reasoning, problem-solving skills, and attention to detail are essential. Strong verbal and written communication skills are necessary, along with knowledge of applicable rules, insurance principles, and subrogation/NSA concepts. The ability to manage multiple priorities in a fast-paced environment is also required.

Responsibilities

The Recovery Analyst is responsible for managing subrogation cases, No Surprises Act (NSA) disputes, and overpayment recoveries from beginning to end. This includes researching paid claims, answering inquiries, coordinating with internal departments and external vendors, and adjusting claims based on settlements or overpayments. The role involves preparing documentation, investigating claim situations, ensuring compliance with timeframes, and identifying areas for improvement. Additionally, the analyst will notify vendors and clients of recovery interests, represent Centivo in meetings, and maintain data entry for complaints and appeals.

Skills

Centivo

Affordable health insurance with primary care focus

About Centivo

Centivo provides health insurance focused on making healthcare affordable and accessible. The company emphasizes primary care, offering free primary care services, no deductibles, and low, predictable copays to help keep its members healthier and reduce the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's offering is its integrated virtual care service, allowing members to access care conveniently. The company is distinguished by its commitment to quality, curating providers based on strict price and quality standards, particularly in primary care. Centivo's goal is to enhance the member experience while lowering overall healthcare costs.

Buffalo, New YorkHeadquarters

2017Year Founded

$183.7MTotal Funding

DEBTCompany Stage

Financial Services, HealthcareIndustries

201-500Employees

Benefits

Insurance: Medical, dental, vision, life & diability

401k plan

Access to a health savings account

Commuting and dependent care FSA

Competitive salary, bonus, & equity

Risks

Integration challenges with Eden Health may disrupt service delivery if not managed well.

Chronic shortages in primary care access could impact Centivo's care delivery model.

Increased competition from AI-driven startups may challenge Centivo's market position.

Differentiation

Centivo emphasizes primary care partnerships to coordinate healthcare needs effectively.

The company offers free primary care, no deductibles, and low, predictable copays.

Centivo integrates virtual care and mental health services for comprehensive healthcare solutions.

Upsides

Centivo raised $75M to expand affordable health plans amid rising U.S. healthcare costs.

Acquisition of Eden Health enhances Centivo's virtual care and mental health services.

Growing trend of virtual care aligns with Centivo's integrated virtual care service.

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