Recovery Specialist
- Recovery-Specialist
- Claims-Specialist
- Subrogation-Specialist
- Claims-Recovery-Specialist
- Healthcare-Claims-Specialist
- Certified-Recovery-Specialist
- Recovery-Support-Specialist
- Recovery-Program-Specialist
- Recovery-Access-Specialist
- Recovery-Associate
- Addiction-Recovery-Specialist
Коротко о вакансии
Компания Sanford Health, крупнейшая сельская система здравоохранения в США, ищет специалиста по возврату переплат. Вам предстоит выявлять и исследовать требования третьих сторон, работать с переплатами по страховым случаям, включая компенсации работникам, аварии и больничные залоги. Нужно будет вести переговоры об урегулировании залогов и возврате средств, а также поддерживать подробные записи по каждому делу. Важно знание законов, нормативных актов и страховых процессов.
- Формат работы
- удалённо
- География
- США
- Зарплата
- 18 — 29 $ — по данным sanford
- Ключевые требования
- Диплом ассоциата в бизнесе, юриспруденции или здравоохранении
- Год опыта работы с кодированием, страховыми процессами или суброгацией
- Опыт работы с исками по компенсации работникам
- Сертификация CSRP от NASP приветствуется
- Кому подойдёт
- Вакансия подойдёт специалистам с опытом в страховом возмещении и суброгации, желающим работать удалённо в крупной медицинской организации США.
Пересказ openqareer по тексту работодателя. Ниже — оригинал объявления.
Sanford Health , the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Work Shift:
8 Hours - Day Shifts (United States of America)
Scheduled Weekly Hours:
40
Compensation:
Salary Range: $18.00 - $29.00
Union Position:
No
Department Details
Summary
The Recovery Specialist is responsible for the identification and research of third party claims. Works for the recovery of overpayments involving workers compensation, no-fault, hospital liens, and any other type of accident or liability claims. Identifies legal liability, and pursues, negotiates, and settles subrogation, liens, and reimbursement recoveries.
Job Description
Applies applicable laws, regulations, and policy language to achieve recoveries in accordance to mandates. Negotiates lien settlements with attorneys and other responsible representatives to obtain maximum recovery.Assists in response to Summons and Complaint and interrogatories from attorneys where suit has been commenced. Communicates legal rights to all involved parties placing them on notice of lien. Reviews medical charges to identify relatedness. Maintains detailed recovery records to ensure case facts are accurate.Maintains a high level of technical skill and knowledge of recovery processes to act as a resource to the department. Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge and abilities to perform, within scope, role specific functions.
Qualifications
Associates degree in business, legal, or healthcare related field required. In lieu of education leadership may accept three years’ applicable work experience.
Minimum of one year work experience with coding, insurance processes, liability, subrogation, coordination of benefits or workers' compensation claim adjudication.
CSRP (Certified Subrogation Recovery Professional) designation from NASP (National Association of Subrogation Professionals) preferred.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to .
Originally posted on Himalayas
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