Insurance Reimbursement Specialist (Duplicate Payments)

Intellivo•Creve Coeur, MO

13h•$48,000 - $60,000

About The Position

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 )

Requirements

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

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