Subrogation Specialist in Work From Home at MultiPlan

Date Posted: 9/4/2022

Job Snapshot

Job Description

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.

Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!

Process a paperless health insurance subrogation caseload by investigating and developing subrogation case facts and sources of recovery. Responsibilities include placing a large volume of outbound calls as well as submitting correspondence to health plan members, insurance companies, and attorney offices. The Discovery Health Partners work environment is team-orientated. The Subrogation Specialist will coordinate efforts with other members of the subrogation team to maximize recovery in accordance with Subrogation Policies and Procedures.
JOB ROLES AND RESPONSIBILITIES:

1. Learn and understand fundamentals of health insurance subrogation, including basic health plan contractual provisions that apply to the reimbursement efforts
2. Review, Identify and develop subrogation opportunities by gathering missing information and potential sources of recovery
3. Place parties of interest on notice
4. Organize and structure investigations to work in priority order using the tools provided
5. Respond timely to all electronic, written and verbal communications
6. Log and maintain detailed and accurate records
7. Access and pull benefits from clients' health claim systems
8. Engage advice and/or help of legal manager to proactively resolve cases
9. Ensure compliance of state and federal laws
10. Provide feedback to management and unit on trends or developments
11. Collaborate, coordinate, and communicate across disciplines and departments.
12. Ensure compliance with HIPAA regulations and requirements.
13. Demonstrate Company's Core Competencies and values held within.
14. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
15. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE:
Performs role under direct supervison, decision making is limited in scope, follows defined structure and must be escalated if ourside of scope. Must collaborate across team. Must interact with customers/clients on a regular basis and keep the needs of external and internal customers as a priority when making decisions and taking action. Must meet quality and productivity standards.

**Pursuant to Colorado’s “Equal Pay for Equal Work Act”, the following salary range is provided solely for applicants living in Colorado.  $17.50 - $19.00 If an applicant does not live in Colorado, this salary range may not apply.  Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity.  This position is also eligible for health insurance, 401k and bonus opportunity.

Job Requirements

JOB REQUIREMENTS (Education, Experience, and Training):

* Minimum high school diploma or GED coupled with at least one (1) year of relevant experience.
* Working knowledge of Microsoft Word, Excel, internet research skills
* Excellent organizational, communication, critical thinking, analytical and independent decision making skills
* Developed customer service skills
* Strong organizational and time management skills
* Ability to work independently and as part of a team
* Required licensures, professional certifications, and/or Board certifications as applicable
* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

  • Medical, dental and vision coverage (low copay & deductible
  • Life insurance
  • Short- and long-term disability
  • 401(k) + match
  • Generous Paid Time Off
  • Paid company holidays
  • Tuition reimbursement
  • Flexible Spending Account
  • Employee Assistance Program
  • Summer Hours

EEO STATEMENT

MultiPlan is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you'd like more information on your EEO rights under the law, please

.

CHECK OUT OUR SIMILAR JOBS

  1. Claims Examiner Jobs
  2. Claims Manager Jobs