Insurance Claims Reimbursement Specialist (Duplicate Payments)

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 Claims 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

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!