Centivo

Recovery Analyst

Remote

Centivo Logo
$45,000 – $50,000Compensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
InsuranceIndustries

Requirements

Candidates should possess excellent verbal and written communication skills, including the ability to speak clearly and concisely and understand complex information, along with proven organizational, rational reasoning, and problem-solving skills with attention to detail. They must have knowledge of applicable rules and statutes, the process and principles of insurance, and basic subrogation and NSA concepts.

Responsibilities

The Recovery Analyst will be responsible for managing all file requirements from beginning to end for subrogation cases, No Surprises Act (NSA) disputes, and overpayment recoveries with the assigned third-party vendor, including researching paid claims, answering inquiries, coordinating with other departments, and adjusting claims based on overpayments of claims and settlements. This role involves preparing documentation, investigating claim situations, following up with departments, monitoring inventory, identifying improvement areas, notifying vendors and clients, representing Centivo in meetings, and performing data entry, as well as handling any additional tasks assigned.

Skills

Verbal Communication
Written Communication
Complex Information Interpretation
Organizational Skills
Problem-Solving
Attention to Detail
Insurance Knowledge
Subrogation and NSA Concepts
Business Correspondence
Time Management

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.

Key Metrics

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.

Land your dream remote job 3x faster with AI